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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}hospitalitaliano.org.ar

http://dx.doi.org/10.1136/ijgc-2020-001574

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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

    References

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      2. Morris SN ,
      3. Fader AN ,
      4. Milad MP , et al
      . Understanding the "scope" of the problem: why laparoscopy is considered safe during the COVID-19 pandemic. J Minim Invasive Gynecol 2020;27:789–91.doi:10.1016/j.jmig.2020.04.002 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32247882
      OpenUrlPubMed
    2. ↵
      2. Mintz Y ,
      3. Arezzo A ,
      4. Boni L , et al
      . 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. Ann Surg 2020.
    3. ↵
      2. Cohen SL ,
      3. Liu G ,
      4. Abrao M , et al
      . Perspectives on surgery in the time of COVID-19: safety first. J Minim Invasive Gynecol 2020;27:792–3.doi:10.1016/j.jmig.2020.04.003 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32251839
      OpenUrlPubMed

    Footnotes

    • 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

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    © IGCS and ESGO 2020. No commercial re-use. See rights and permissions. Published by BMJ. 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, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained. https://bmj.com/coronavirus/usage