key: cord-0816719-kzy1rmph
authors: Saadi, Jose Martin; Cortez, Juan Pablo Segundo; Noll, Florencia; Brown, Justina Paula; Bolaño, Lucrecia
title: Adaptations and modifications in the technique of laparoscopic hysterectomy with bilateral adnexectomy in the time of COVID-19
date: 2020-05-23
journal: Int J Gynecol Cancer
DOI: 10.1136/ijgc-2020-001574
sha: 6c5a9e5b7eeab21e5c16b973d33b791b6d6e3b6d
doc_id: 816719
cord_uid: kzy1rmph

nan

During the COVID-19 pandemic, the concept of aerosolization has resurfaced and how it can spread during surgery, with the possibility of spreading the virus or its particles in the operating room. 1 The importance of protecting the surgical team to avoid contagions is extremely important. 2 These measures must include both personal protective equipment and safety maneuvers during surgery. 3 With the video we intend to: ► Show the surgical maneuvers that we adapt to our technique and that we believe are appropriate to carry out a laparoscopic hysterectomy safely. ► Share the management algorithm used in a university hospital in Argentina. ► Show the technical resources to avoid aerosolization (placement of smoke filters, working at low pneumoperitoneum pressures, technical variant during colpectomy, trocar extraction after evacuation of the pneumoperitoneum).

Contributors Saadi Jose, Bolaño Lucrecia, Brown Justina, Noll Florencia, Cortez Juan Pablo.

Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

Understanding the "scope" of the problem: why laparoscopy is considered safe during the COVID-19 pandemic

The technology committee of the European Association for Endoscopic Surgery. A low cost, safe and effective method for smoke evacuation in laparoscopic surgery for suspected coronavirus patients

Perspectives on surgery in the time of COVID-19: safety first

Patient consent for publication Not required.Provenance and peer review Not commissioned; externally peer reviewed.

This article is made freely available for use in accordance with BMJ's website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, noncommercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

Jose Martin Saadi http:// orcid. org/ 0000-0003-3371-5072 Florencia Noll http:// orcid. org/ 0000-0003-4815-3914