Gynecological Surgery and COVID-19: What is the Impact and How Should I Manage it?

Rev Bras Ginecol Obstet. 2020 Jul;42(7):415-419. doi: 10.1055/s-0040-1715146. Epub 2020 Jul 31.

Abstract

It is estimated that around 28 million surgeries will be postponed or canceled worldwide as a result of this pandemic, causing a delay in the diagnosis and treatment of more than 2 million cancer cases. In Brazil, both the National Health Agency (ANS) and National Health Surveillance Agency (ANVISA) advised the postponement of elective and non-essential surgeries, causing a considerable impact on the number of surgical procedures that decreased by 33.4% in this period. However, some women need treatment for various gynecological diseases that cannot be postponed. The purpose of this article is to present recommendations on surgical treatment during the COVID-19 pandemic.

Estima-se que cerca de 28 milhões de cirurgias sejam postergadas ou canceladas no mundo em decorrência desta pandemia, causando atraso no diagnóstico e tratamento de mais de 2 milhões de casos oncológicos. No Brasil, tanto a ANS (Agencia Nacional de Saúde) como a ANVISA (Agencia Nacional de Vigilância Sanitária) orientaram o adiamento das cirurgias eletivas e não essenciais, tendo um impacto considerável no número de procedimentos cirúrgicos com diminuição de 33,4% neste período no Brasil. No entanto, algumas mulheres necessitam de tratamento para várias doenças ginecológicas, algumas das quais não podem ser adiadas. O objetivo deste artigo é apresentar recomendações sobre o tratamento cirúrgico durante a pandemia de COVID-19.

Publication types

  • Review

MeSH terms

  • Betacoronavirus
  • Brazil / epidemiology
  • COVID-19
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / transmission
  • Cross Infection / prevention & control
  • Disease Transmission, Infectious / prevention & control
  • Elective Surgical Procedures / statistics & numerical data
  • Female
  • Gynecologic Surgical Procedures* / statistics & numerical data
  • Humans
  • Pandemics*
  • Patient Care Planning*
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / transmission
  • Risk Factors
  • SARS-CoV-2