key: cord-0872119-izfc0f6s
authors: Aquino-Aquino, Prudence V.; Habana, Maria Antonia E.; Abat, Marinella Agnes G.; Go-Du, Jean; Sua-Lao, Chiaoling; Aranzamendez, Jennifer A.; Fernandez, Ma. Asuncion A.; Tanangonan, Gladys G.; Trinidad, Anne Marie C.; Garcia, Joan Tan; Alensuela, Anna Belen I.; Cardoso, German Tan
title: PSGE Statement on Minimally Invasive Gynecologic Surgeries (MIGS) during the COVID-19 Pandemic in the Philippines. March 30, 2020
date: 2020-05-07
journal: J Minim Invasive Gynecol
DOI: 10.1016/j.jmig.2020.04.041
sha: 7fb6789ddaddc9a92b743c71089392129b2aa155
doc_id: 872119
cord_uid: izfc0f6s

nan

a. The institution is capable of providing the full PPE for the surgical team. b. All patients undergo the necessary pre-operative assessment to rule out COVID-19. c. Proper measures are taken to contain the CO2 release during procedures. d. The use of non-electrosurgical/ultrasonic measures for hemostasis is maximized. e. Disposable equipment is used.

WHO Interim Guidance: Rational Use of personal protective equipment (PPE) for coronavirus disease (COVD-19)

ESGE) Recommendations on Gynaecological Laparoscopic Surgery during the COVID-19 Outbreak

Joint Society Statement on Minimally Invasive Gynecologic Surgery During the COVID-19

Elective Case Triage Guidelines for Surgical Care -Gynecology

BGCS guidance for the management of abnormal uterine bleeding in the evolving Coronavirus (COVID-19) pandemic

The PSGE supports the suspension of elective surgeries during this time upon review of the available literature and current guidelines.However, there may be occasions when surgery may be deemed urgent and cannot be delayed and the following recommendations must be considered in decision making. These are subject to change as new data become available. a. Routine COVID-19 Testing as part of the pre-op assessment of the patient is not feasible. b.There is a potential for viral aerosolization with C02 use to achieve pneumoperitoneum. c. COVID-19 Virus shedding in the peritoneum and female reproductive tract are still unknown. d. Limited supply of the Proper Protective Equipment (PPE) for the surgical team (surgeons, anesthesiologists, nurses and allied medical profession). The PPE is important to prevent virus transmission which occurs through inhalation of infected droplets.