Department of Obstetrics and Gynecology, Tottori University, Tottori, Japan.
Department of Gynecology and Obstetrics, Osaka University School of Medicine, Osaka, Japan.
J Obstet Gynaecol Res. 2023 Jan;49(1):314-320. doi: 10.1111/jog.15467. Epub 2022 Oct 26.
This study aimed to clarify the impact of coronavirus disease 2019 on gynecology practice in Japan, in particular, on surgeries for benign gynecological diseases.
An online questionnaire was distributed to 966 facilities in Japan, including core facilities, facilities participating in perinatal and gynecologic oncology registries, and facilities certified for training by the Japanese Society of Obstetrics and Gynecology Endoscopy. The number of surgeries performed was compared between 2019 and 2020, when the novel coronavirus disease was prevalent.
Five hundred and eighty (58.2%) facilities responded. The total number of surgeries decreased from 129 648 in 2019 to 118 565 in 2020, by 8.5%, for all surgical procedures. However, there was a clear increase in the number of robotic surgeries performed in 2020 compared to that in 2019 for all populations. The number of total hysterectomies decreased markedly from 15 385 in 2019 to 12 531 in 2020, a fall of 10.1%.
The number of surgeries for benign gynecological diseases decreased by 8.5% in 2020 compared to that in 2019. This value is among the lowest in the world.
本研究旨在阐明 2019 年冠状病毒病（COVID-19）对日本妇科实践的影响，特别是对良性妇科疾病手术的影响。
向日本的 966 家医疗机构（包括核心医疗机构、参与围产期和妇科肿瘤学登记的医疗机构以及日本妇产科内窥镜学会认证的培训设施）分发了在线问卷。比较了 2019 年和 2020 年新型冠状病毒病流行期间实施手术的数量。
58 家（58.2%）医疗机构做出了回应。所有手术程序的手术总数从 2019 年的 129648 例降至 2020 年的 118565 例，下降了 8.5%。然而，所有人群的机器人手术数量在 2020 年明显增加。2020 年全子宫切除术总数从 2019 年的 15385 例显著下降至 12531 例，下降了 10.1%。
与 2019 年相比，2020 年良性妇科疾病手术数量减少了 8.5%。这一数值处于世界较低水平。
