Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience

Introduction. Early in the 2020 Coronavirus pandemic stay-at-home guidelines, there were public health orders that elective surgeries be deferred to prioritize hospital beds for critically ill COVID-19 patients. Besides, several reasons led to the postponement of consultations, diagnostic tests, and...

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Autores principales: Claudio Peixoto Crispi, Eduardo de Almeida Nogueira, Pietro Cardoso Balthar, Camilla Gabriely Souza Guerra, Marlon de Freitas Fonseca
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Publicado: Hindawi Limited 2021
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spelling oai:doaj.org-article:a99ae4dd994d432699c43951177ec19c2021-11-08T02:36:14ZEndometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience2090-669210.1155/2021/5040873https://doaj.org/article/a99ae4dd994d432699c43951177ec19c2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/5040873https://doaj.org/toc/2090-6692Introduction. Early in the 2020 Coronavirus pandemic stay-at-home guidelines, there were public health orders that elective surgeries be deferred to prioritize hospital beds for critically ill COVID-19 patients. Besides, several reasons led to the postponement of consultations, diagnostic tests, and elective therapeutic procedures. As a result, some women with endometriosis faced chronification of their pain and decreased prospects for pregnancy. The aim of this study was to describe individual responses to minimally invasive complete excision of endometriosis through 40 days of follow-up of women whose endometriosis was considered severe enough to proceed with surgery during the fourth, fifth, and sixth months of constraints imposed by the pandemic. Preventive strategies and safety measures employed to protect patients and staff from acquiring or transmitting Coronavirus infection are presented. Case Presentation. This case series report enrolled 11 consecutive Brazilian women (ages 22 to 47 y) who underwent minimally invasive surgical treatment of endometriosis between June 26 and August 17, 2020. Cases of endometriosis requiring more urgent surgery were promptly identified and considered individually. The strict safety measures were well accepted by patients. No women developed any flu-like or COVID-19-related symptoms (cough, dyspnea, fever, or anosmia) in the 40 days of postoperative follow-up. One of the most praised measures reported by patients was the routine testing of the patient, the person who would accompany her in the hospital, and all medical staff and employees. Discussion. It is feasible to safely perform elective endometriosis surgery in selected cases during a pandemic.Claudio Peixoto CrispiClaudio Peixoto CrispiEduardo de Almeida NogueiraPietro Cardoso BaltharCamilla Gabriely Souza GuerraMarlon de Freitas FonsecaHindawi LimitedarticleGynecology and obstetricsRG1-991ENCase Reports in Obstetrics and Gynecology, Vol 2021 (2021)
institution DOAJ
collection DOAJ
language EN
topic Gynecology and obstetrics
RG1-991
spellingShingle Gynecology and obstetrics
RG1-991
Claudio Peixoto Crispi
Claudio Peixoto Crispi
Eduardo de Almeida Nogueira
Pietro Cardoso Balthar
Camilla Gabriely Souza Guerra
Marlon de Freitas Fonseca
Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience
description Introduction. Early in the 2020 Coronavirus pandemic stay-at-home guidelines, there were public health orders that elective surgeries be deferred to prioritize hospital beds for critically ill COVID-19 patients. Besides, several reasons led to the postponement of consultations, diagnostic tests, and elective therapeutic procedures. As a result, some women with endometriosis faced chronification of their pain and decreased prospects for pregnancy. The aim of this study was to describe individual responses to minimally invasive complete excision of endometriosis through 40 days of follow-up of women whose endometriosis was considered severe enough to proceed with surgery during the fourth, fifth, and sixth months of constraints imposed by the pandemic. Preventive strategies and safety measures employed to protect patients and staff from acquiring or transmitting Coronavirus infection are presented. Case Presentation. This case series report enrolled 11 consecutive Brazilian women (ages 22 to 47 y) who underwent minimally invasive surgical treatment of endometriosis between June 26 and August 17, 2020. Cases of endometriosis requiring more urgent surgery were promptly identified and considered individually. The strict safety measures were well accepted by patients. No women developed any flu-like or COVID-19-related symptoms (cough, dyspnea, fever, or anosmia) in the 40 days of postoperative follow-up. One of the most praised measures reported by patients was the routine testing of the patient, the person who would accompany her in the hospital, and all medical staff and employees. Discussion. It is feasible to safely perform elective endometriosis surgery in selected cases during a pandemic.
format article
author Claudio Peixoto Crispi
Claudio Peixoto Crispi
Eduardo de Almeida Nogueira
Pietro Cardoso Balthar
Camilla Gabriely Souza Guerra
Marlon de Freitas Fonseca
author_facet Claudio Peixoto Crispi
Claudio Peixoto Crispi
Eduardo de Almeida Nogueira
Pietro Cardoso Balthar
Camilla Gabriely Souza Guerra
Marlon de Freitas Fonseca
author_sort Claudio Peixoto Crispi
title Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience
title_short Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience
title_full Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience
title_fullStr Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience
title_full_unstemmed Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience
title_sort endometriosis surgery during the first wave of the covid-19 pandemic: a brazilian single institution experience
publisher Hindawi Limited
publishDate 2021
url https://doaj.org/article/a99ae4dd994d432699c43951177ec19c
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