Introduction: During the coronavirus disease-2019 (COVID-19) pandemic era, different types of emergency gynecological surgeries were performed in the Department of Obstetrics and Gynecology of our tertiary care teaching hospital as per the standard guidelines issued from time to time by the Indian Council of Medical Research (ICMR) and the Federation of Obstetric and Gynecological Societies of India Good Clinical Practice Recommendations (FOGSI GCPR) guidelines for the safety of the patients and healthcare providers.
Materials and methods: A different variety of gynecological surgeries were performed on cases which were admitted in the Obstetrics and Gynecology ward of Sri Guru Ram Das Institute of Health Sciences and Research, Vallah, Amritsar, with effect from the first lockdown, i.e., March 22, 2020, to the end of lockdown, i.e., May 31, 2020 following standard guidelines for the safety of patients and healthcare providers in the COVID pandemic. The details of these cases are being presented in this article.
Results: A very few gynecological surgeries were taken up as they could not have been postponed to the post-COVID times. The use of medical and conservative approach to each possible situation has been tremendous. All cases of abnormal uterine bleeding (AUB), endometriosis, and fibroid uterus were continued to be on medical management. All minor diagnostic procedures were done under short general anesthesia with premedication.
Conclusion: The resumption of regular gynecological work is being regularized in phases. It is a long way before we come back to the original gynecology practice.
Babu N, Kohli P, Mishra C, et al. To evaluate the effect of COVID-19 pandemic and national lockdown on patient care at a tertiary care ophthalmology institute. Indian J Ophthalmol 2020;68(6):1540–1544. DOI: 10.4103/ijo.IJO_1673_20.
Honavar SG. Navigating the new normal in ophthalmology. Indian J Ophthalmol 2020;68(6):957–958. DOI: 10.4103/ijo.IJO_1649_20.
Brindle M, Gawande A. Managing COVID-19 in surgical systems. Ann Surg 2020;272(1):e1–e2. DOI: 10.1097/SLA.0000000000003923 [Epub ahead of print].
Association of Gynecologic Laparoscopists. COVID-19: joint statement on minimally invasive gynecologic surgery. https://www.aagl.org/news/covid-19-joint-statement- on-minimally-invasive-gynecologic-surgery/?fbclid=IwAR1BIiattvez0PxnJLsG Fea75dgksuSFlJAWgqcRspZM3JfqkKs6wUsbNQc. Accessed July 20, 2020 [Google Scholar].
Tartari E, Weterings V, Gastmeier P, et al. Patient engagement with surgical site infection prevention: an expert panel perspective. Antimicrobial Resistance and Infection Control 2017;6:45. DOI: 10.1186/s13756-017-0202-3.
Tribune News Service. PM appeals for Janta Curfew on March 22. The Tribune (newspaper on the internet) 2020 March 20. Available from http://www.tribuneindia.com.
Tribune News Service. Punjab orders statewide shutdown till March 31 to check spread of coronavirus. The Tribune (newspaper on the internet) 2020 March 22. Available from http://www.tribuneindia.com.
HT Correspondents. One month of COVID-19 curfew in Punjab. Hindustan Times (newspaper on the internet) 2020 April 23. Available from http://www.hindustantimes.com.
HT Correspondent. Punjab replaces curfew with lockdown till May31. Hindustan Times (newspaper on the internet) 2020 May 16. Available from http://www.hindustantimes.com.
Gandhi A, Gantara A, Tank P. Good Clinical Practice recommendation on pregnancy with Covid-19 infection. FOGSI GCPR, 2020 March.
Mathur R. National guidelines for ethics committees reviewing biomedical & health research during COVID-19 pandemic. Indian Council of Medical Research. New Delhi 2020 April.
Kaur B. The recent outbreak of COVID-19 in pregnancy & its management. Indian J Obstet Gynecol Res 2020;7(2):139–146. DOI: 10.18231/j.ijogr.2020.051.
Brücher BLDM, Nigri G, Tinelli A, et al. COVID-19: pandemic surgery guidance. 4Open 2020;3(1). DOI: 10.1051/fopen/2020002 [Google scholar].
Carugno J, Di Spiezio SA, Alonso L, et al. COVID-19 pandemic. Impact on hysteroscopic procedures: a consensus statement from the Global Congress of Hysteroscopy Scientific Committee. J Minim Invasive Gynecol 2020;27(5):988–992. DOI: 10.1016/j.jmig.2020.04.023 [Epub ahead of print].
Chiofalo B, Baiocco E, Mancini E, et al. Practical recommendation of gynecologic surgery during the COVID-19 pandemic. Int J Gynaecol Obstet 2020;150(2):146–150. DOI: 10.1002/ijgo.13248.
Ateriya N, Saraf A, Meshram VP, et al. Telemedicine and virtual consultation: the Indian perspective. Natl Med J India. 2018 Jul–Aug;31(4):215–218. DOI: 10.4103/0970-258X.258220.