Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience
OBJECTIVE: The objective of this study was to determine the incidence of perioperative “severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)” infection among women, operated during Coronavirus disease-2019 (COVID-19) era. STUDY DESIGN: All patients who were operated on between March 11, 2...
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| Format: | Article |
| Language: | English |
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Medical Network
2022-08-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/1206 |
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| author | Gulnihal Reyhan Toptas Eylem Unlubilgin Tugba Kinay Ali Riza Dogan Mehmet Akif Akgul Sitare Aslanova Emel Ebru Ercan Vakkas Korkmaz Sezin Erturk Aksakal Yaprak Ustun |
| author_facet | Gulnihal Reyhan Toptas Eylem Unlubilgin Tugba Kinay Ali Riza Dogan Mehmet Akif Akgul Sitare Aslanova Emel Ebru Ercan Vakkas Korkmaz Sezin Erturk Aksakal Yaprak Ustun |
| author_sort | Gulnihal Reyhan Toptas |
| collection | DOAJ |
| description |
OBJECTIVE: The objective of this study was to determine the incidence of perioperative “severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)” infection among women, operated during Coronavirus disease-2019 (COVID-19) era.
STUDY DESIGN: All patients who were operated on between March 11, 2020, and December 31, 2020, in our gynecology clinic were included in this cross-sectional study. The clinical and demographic characteristics of the patients, preoperative and postoperative SARS-CoV-2 positivity, the progress of the infection, and the survival rates in positive cases were analyzed. COVID-19 cases were diagnosed by reverse transcription-polymerase chain reaction testing for SARS-CoV-2.
RESULTS: Operations of 133 (33%) of 406 patients were canceled for various reasons. 275 patients were operated on. Preoperatively three patients were diagnosed with COVID-19. One of these patients died and two were operated on after treatment and self-isolation. Only one (0.4%) patient was diagnosed with COVID-19 30 days postoperatively and completely recovered. We calculated the perioperative SARS-CoV-2 positivity rate as 1.4% (276 surgeries were planned and 4 patients were diagnosed with COVID-19). During the study, 107 physicians worked in our clinic alternately. Two (1.8%) of these physicians were diagnosed with COVID-19 and completely recovered without the need for intensive care. In addition, nine patients who were previously diagnosed with COVID-19 were operated on. Postoperative respiratory and other system complications did not occur in nine patients, previously diagnosed with COVID-19.
CONCLUSION: The results of our study show that gynecological surgical procedures do not increase the transmission and mortality rates of SARS-CoV-2 among patients and healthcare professionals as long as infection control measures are followed.
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| format | Article |
| id | doaj-art-41ab26e7da194363bb7485c283e4abcf |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-41ab26e7da194363bb7485c283e4abcf2025-02-11T21:15:41ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182022-08-0128210.21613/GORM.2021.1206Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center ExperienceGulnihal Reyhan Toptas0Eylem Unlubilgin1Tugba Kinay2Ali Riza Dogan3Mehmet Akif Akgul4Sitare Aslanova5Emel Ebru Ercan6Vakkas Korkmaz7Sezin Erturk Aksakal8Yaprak Ustun9Etlik Zubeyde Hanim Maternity & Women’s Health Teaching and Research Hospital, Department of Gynecology, Ankara, TURKEYEtlik Zubeyde Hanim Maternity & Women’s Health Teaching and Research Hospital, Department of Gynecology, Ankara, TURKEYEtlik Zubeyde Hanim Maternity & Women’s Health Teaching and Research Hospital, Department of Gynecology, Ankara, TURKEYEtlik Zubeyde Hanim Maternity & Women’s Health Teaching and Research Hospital, Department of Gynecology, Ankara, TURKEYEtlik Zubeyde Hanim Maternity & Women’s Health Teaching and Research Hospital, Department of Gynecology, Ankara, TURKEYEtlik Zubeyde Hanim Maternity & Women’s Health Teaching and Research Hospital, Department of Gynecology, Ankara, TURKEYEtlik Zubeyde Hanim Maternity & Women’s Health Teaching and Research Hospital, Department of Gynecology, Ankara, TURKEYEtlik Zubeyde Hanim Maternity & Women’s Health Teaching and Research Hospital, Department of Gynecology, Ankara, TURKEYEtlik Zubeyde Hanim Maternity & Women’s Health Teaching and Research Hospital, Department of Gynecology, Ankara, TURKEYEtlik Zubeyde Hanim Maternity & Women’s Health Teaching and Research Hospital, Department of Gynecology, Ankara, TURKEY OBJECTIVE: The objective of this study was to determine the incidence of perioperative “severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)” infection among women, operated during Coronavirus disease-2019 (COVID-19) era. STUDY DESIGN: All patients who were operated on between March 11, 2020, and December 31, 2020, in our gynecology clinic were included in this cross-sectional study. The clinical and demographic characteristics of the patients, preoperative and postoperative SARS-CoV-2 positivity, the progress of the infection, and the survival rates in positive cases were analyzed. COVID-19 cases were diagnosed by reverse transcription-polymerase chain reaction testing for SARS-CoV-2. RESULTS: Operations of 133 (33%) of 406 patients were canceled for various reasons. 275 patients were operated on. Preoperatively three patients were diagnosed with COVID-19. One of these patients died and two were operated on after treatment and self-isolation. Only one (0.4%) patient was diagnosed with COVID-19 30 days postoperatively and completely recovered. We calculated the perioperative SARS-CoV-2 positivity rate as 1.4% (276 surgeries were planned and 4 patients were diagnosed with COVID-19). During the study, 107 physicians worked in our clinic alternately. Two (1.8%) of these physicians were diagnosed with COVID-19 and completely recovered without the need for intensive care. In addition, nine patients who were previously diagnosed with COVID-19 were operated on. Postoperative respiratory and other system complications did not occur in nine patients, previously diagnosed with COVID-19. CONCLUSION: The results of our study show that gynecological surgical procedures do not increase the transmission and mortality rates of SARS-CoV-2 among patients and healthcare professionals as long as infection control measures are followed. https://gorm.com.tr/index.php/GORM/article/view/1206Coronavirus infectionGynecological surgery Health care Perioperative periodTriage |
| spellingShingle | Gulnihal Reyhan Toptas Eylem Unlubilgin Tugba Kinay Ali Riza Dogan Mehmet Akif Akgul Sitare Aslanova Emel Ebru Ercan Vakkas Korkmaz Sezin Erturk Aksakal Yaprak Ustun Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience Gynecology Obstetrics & Reproductive Medicine Coronavirus infection Gynecological surgery Health care Perioperative period Triage |
| title | Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience |
| title_full | Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience |
| title_fullStr | Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience |
| title_full_unstemmed | Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience |
| title_short | Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience |
| title_sort | perioperative sars cov 2 infection in patients undergoing elective surgery in gynecology clinic tertiary center experience |
| topic | Coronavirus infection Gynecological surgery Health care Perioperative period Triage |
| url | https://gorm.com.tr/index.php/GORM/article/view/1206 |
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