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Adaptations and modifications in the technique of laparoscopic hysterectomy with bilateral adnexectomy in the time of COVID-19
  1. Jose Martin Saadi1,
  2. Juan Pablo Segundo Cortez2,
  3. Florencia Noll1,
  4. Justina Paula Brown3 and
  5. Lucrecia Bolaño2
  1. 1 Gynecologic Oncology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
  2. 2 Gynecologic Onologic, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
  3. 3 Ginecologia, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
  1. Correspondence to Dr Lucrecia Bolaño, Hospital Italiano de Buenos Aires, Buenos Aires C1199ABD, Argentina; lucrecia.bolano{at}

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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).

Video 1



  • 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.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available in a public, open access repository