Features of elective medical care provided to patients with gynecological diseases under conditions of a risk for spreading the novel coronavirus infection. Experience of the Urals Region

Malgina G.B., Mikhelson A.A., Melkozerova O.A., Okulova E.O., Lazukina M.V., Lukach M.A. Minyaylo E.M.

Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, Yekaterinburg, Russia
Objective. To analyze the data available in the modern scientific literature on the features of elective medical care provided to patients with gynecological diseases under conditions of a risk for spreading the novel coronavirus infection and to present the experience of the Urals Region.
Materials and methods. The review includes the data of articles from the international peer-reviewed journals available in databases in 2018–2020. Modern publications on the topic of the study were considered.
Results. The paper describes the main features of providing elective surgical care in case of the Gynecology Department, Urals Scientific Research Institute for Maternity and Child Care, Ministry of Health of the Russian Federation. It presents the basic principles of patient admission to a gynecology hospital and details the distinctive
features of laparoscopic interventions under conditions of a risk for spreading the novel coronavirus infection. In the period from June to September 2020, a total of 258 patients were operated on in the Gynecology Department, Urals Scientific Research Institute for Maternity and Child Care, when providing high-tech and specialized medical care. An algorithm was elaborated for the provision of elective specialized care in the Gynecology Department in an inpatient setting.
Conclusion. The work of an elective surgical service must correspond to the specific epidemiological situation under dynamically changing conditions, having the safety of society and the patient as an absolute priority. When providing high-tech medical care, compliance with anti-epidemic measures at the prehospital stage and during inpatient treatment enables COVID-19 cases to be avoided in both patients and medical workers.

Keywords

high-tech medical care
laparoscopy
novel coronavirus infection
COVID-19 pandemic

References

  1. Временные методические рекомендации «Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)». Версия 7 (утв. Министерством здравоохранения РФ 3 июня 2020 г.) [Temporary methodological recommendations “Prevention, diagnosis and treatment of a new coronavirus infection (COVID-19)”. Version 7 (approved by Ministry of Health of the Russian Federation June 3, 2020). (in Russian)].
  2. Постановление Правительства РФ от 31 января 2020 г. № 66 «О внесении изменения в перечень заболеваний, представляющих опасность для окружающих». [Decree of the Government of the Russian Federation of January 31, 2020 N 66 “On amending the list of diseases that pose a danger for people around”. (in Russian)].
  3. Приказ Министерства здравоохранения РФ от 19 марта 2020 г. № 198н «О временном порядке организации работы медицинских организаций в целях реализации мер по профилактике и снижению рисков распространения новой коронавирусной инфекции COVID-19» (с изменениями и дополнениями). [Order of the Ministry of Health of the Russian Federation dated March 19, 2020 N 198n “On the temporary procedure for organizing the work of medical organizations in order to implement measures to prevent and reduce the risks of the spread of new coronavirus infection COVID-19” (with changes and additions). (in Russian)].
  4. Письмо Федеральной службы по надзору в сфере защиты прав потребителей и благополучия человека от 9 апреля 2020 г. № 02/6509-2020-32 «О рекомендациях по предупреждению распространения новой коронавирусной инфекции в медицинских организациях». [The Letter of the Federal Service for Supervision in the Field of Consumer Protection and Human Welfare dated April 9, 2020 N 02/6509-2020-32 “On Recommendations for Preventing the Spread of New Coronavirus Infection in Medical Organizations”. (in Russian)].
  5. Chiofalo B., Baiocco E., Mancini E., Vocaturo G., Cutillo G., Vincenzoni C., Bruni S.,Bruno V., Mancari R., Vizza E. Practical recommendations for gynecologic surgery during the COVID-19 pandemic. Int J Gynaecol Obstet. 2020; 150(2): 146-50. https://doi.org/10.1002/ijgo.13248
  6. Setti L., Passarini F., De Gennaro G., Barbieri P., Perrone M.G., Borelli M., Palmisani J., Di Gilio A., Piscitelli P., Miani A. Airborne Transmission Route of COVID-19: Why 2 Meters/6 Feet of Inter- Alessandro Personal Distance Could Not Be Enough. Int J Environ Res Public Health. 2020 Apr 23; 17(8): 2932. https://doi.org/10.3390/ijerph17082932
  7. Doremalen N., Bushmaker T., Morris D.H., Holbrook M.G., Gamble A., Williamson B.N., Tamin A., Harcourt J.L., Thornburg N.J., Gerber S.I., Lloyd-Smith J.O., de Wit E., Munster V.J. Aerosol and Surface Stability of SARS-CoV-2 as Compared With SARS-CoV-1. N Engl J Med. 2020; 382(16): 1564-7. https://doi.org/10.1056/NEJMc2004973
  8. European Society for Gynaecological Endoscopy. ESGE Recommendations onGynaecological Laparoscopic Surgery during Covid-19 Outbreak. https://esge.org/wp-content/uploads/2020/03/Covid19StatementESGE.pdf Ссылка доступна на 01.07.2020
  9. Association of Gynecologic Laparoscopists. COVID-19: Joint Statement onMinimally Invasive Gynecologic Surgery. https://www.aagl.org/news/covid-19-joint-statement-on-minimally-invasive-gynecologic-surgery/?fbclid=IwAR1BIiattvez0PxnJLsGFea75dgksuSFlJAWgqcRspZM3JfqkKs6wUsbNQc Ссылка доступна на 01.07.2020.
  10. International Urogynecological Association. Guidance for the management of urogynecological conditions during the Coronavirus (COVID-19) pandemic. https://www.iuga.org/publications/covid-19-guidance-for-urogynecologicalconditions
  11. Brindle M.E., Gawande A. Managing COVID-19 in Surgical Systems. Annals of Surgery. 2020; 272: 1-2. https://doi.org/10.1097/SLA.0000000000003923
  12. Chen N., Zhou M. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020; 395(10223): 507-13. https://doi.org/10.1016/S0140-6736(20)30211-7
  13. Radonovich Jr L.J., Simberkoff M.S., Bessesen M.T., Brown A.C., Cummings D.A.T.,Gaydos C.A., Los Jenna G., Krosche A.E., Gibert C.L., Gorse G.J., Nyquist A.-C., Reich N.G., Rodriguez-Barradas M.C., Price C.S., Perl T.M. N95 Respirators vs Medical Masks for Preventing Influenza Among Health Care Personnel: A Randomized Clinical Trial. JAMA. 2019; 322(9): 824-33. https://doi.org/10.1001/jama.2019.11645
  14. Carugno J., Di Spiezio S.A., Alonso L., Haimovich S., Campo R., De Angelis C., Bradley L., Bettocchi S., Arias A., Isaacson K., Okohue J., Farrugia M., Kumar A., Xue X., Cavalcanti L., Laganà A.S., Grimbizis G. 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): 988-92. https://doi.org/10.1016/j.jmig.2020.04.023
  15. Brücher B.L.D.M., Nigri G., Tinelli A., Lapeña Jr. J.F.F., Espin-Basany E., Macri P.,Matevossian E., Ralon S., Perkins R., Lück R., Kube R., da Costa J.M.C., Mintz Y., Tez M., Allert S., Sökmen S., Spychala A., Zilberstein B., Marusch F., Kermansaravi M., Kycler W., Vicente D., Scherer M.A., Rivkind A., Elias N., Wallner G., Roviello F., Santos L.L., Araujo Jr. R.J.C., Szold A. Oleas R., Rupnik M.S., Salber J., Jamall I.S., Engel A. COVID-19: Pandemic surgery guidance. 4Open. 2020;3:1. https://doi.org/10.1051/fopen/2020002
  16. Leonardi M., Horne A., Armour M., Missmer S., Roman H., Rombauts L., Hummelshoj L., Wattiez A., Condous G., Johnson N. (2020). Endometriosis clinical guidance during the COVID-19 pandemic. https://doi.org/10.22541/au.158809505.51396892
  17. Leonardi M., Horne A.W., Armour M., Missmer S.A., Roman H., Rombauts L., Hummelshoj L., Wattiez A., Condous G., Johnson N.P. Endometriosis and the Coronavirus (COVID-19) Pandemic: Clinical Advice and Future Considerations. Frontiers in Reproductive Health. 2020; 5. https://doi.org/10.3389/frph.2020.00005
  18. Fang L., Karakiulakis G., Roth M. Are patients with hypertension and diabetes mellitus at increased risk for COVID-19 infection? Lancet Respir Med. 2020; 8: e21. https://doi.org/10.1016/S2213-2600(20)30116-8
  19. Porter J., Blau E., Gharagozloo F., Martino M., Cerfolio R., Duvvuri U., Caceres A.,Badani K., Bhayani S., Collins J., Coelho R., Rocco B., Wiklund P., Nathan S.,Parra-Davila E., Ortiz-Ortiz C., Maes K., Dasgupta P., Patel V. Society of Robotic Surgery Review: Recommendations Regarding the Risk of COVID-19 Transmission During Minimally Invasive Surgery. BJU Int. 2020; 10.1111/bju.15105. https://doi.org/10.1111/bju.15105.
  20. Nunes N., Ambler G., Foo X., Widschwendter M., Jurkovic D. Prospective evaluation of IOTA logistic regression models LR1 and LR2 in comparison with subjective pattern recognition for diagnosis of ovarian cancer in an outpatient setting. Ultrasound Obstet Gynecol. 2018; 51(6): 829-35. https://doi.org/10.1002/uog.18918
  21. Ramirez P.T., Chiva L., Eriksson A.G.Z., Frumovitz M., Fagotti A., Martin A.G., Jhingran A., Pareja R. COVID-19 Global Pandemic: Options for Management of Gynecologic Cancers. Int J Gynecol Cancer. 2020; 0:1-3. https://doi.org/10.1136/ijgc-2020-001419
  22. Koh W.-J., Abu-Rustum N.R., Bean S., Bradley K., Campos Susana M, Cho K.R., Chon H.S., Chu C., Clark R., Cohn D., Crispens M.A., Damast S., Dorigo O.,Eifel P.J., Fisher C.M., Frederick P., Gaffney D.K., Han E., Huh W.K., Lurain J.R., Mariani A., Mutch D., Nagel C., Nekhlyudov L., Fader A.N., Remmenga S.W., Reynolds R.K., Tillmanns T., Ueda S., Wyse E., Yashar C.M., McMillian N.R.,Scavone J.L. Cervical Cancer, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2019; 17(1): 64-84. https://doi.org/10.6004/jnccn.2019.0001
  23. Bogani G., Brusadelli C., Guerrisi R., Lopez S., Signorelli M., Ditto A., Raspagliesi F. Gynecologic Oncology at the Time of COVID-19 Outbreak. J Gynecol Oncol. 2020 Jul;31(4):e72. https://doi.org/10.3802/jgo.2020.31.e72
  24. Адамян Л.В., Азнаурова Я.Б., Филиппов О.С. COVID-19 и женское здоровье (обзор литературы). Проблемы репродукции. 2020; 26(2): 6-17.[Adamyan L.V., Aznaurova Ya.B., Filippov O.S. COVID-19 and women’s health (literature review). Problems of reproduction. 2020; 26(2): 6-17.(in Russian)]. https://doi.org/10.17116/repro202026021

Received 09.11.2020

Accepted 19.11.2020 6

About the Authors

Galina B. Malgina, MD, DSc, Associate Professor, Director of the Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, Ekaterinburg, Russia. Tel: +7(912)243-56-69. Е-mail: galinamalgina@mail.ru. ORCID: 0000-0002-5500-6296. 620146, Russia, Ekaterinburg, Repin str., 1.
Anna A. Mikhelson, MD, Head of the Department of Preservation of the Reproductive Function of Women, Head of the Gynecological Department, Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, Ekaterinburg, Russia. Tel: +7(900)198- 67-26.
E-mail: ann_lukach@list.ru. ORCID:  0000-0003-1709-6187.620146, Russia, Ekaterinburg, Repin str., 1.
Oksana A. Melkozerova, MD, DSc, Associate Professor, Deputy Director for Research, Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, Ekaterinburg, Russia. Tel: +7(922)219-45-06.E-mail: abolmed1@mail.ru. ORCID:  0000-0002-4090-0578. 620146, Russia, Ekaterinburg, Repin str., 1.
Ekaterina O. Okulova, post-graduate student, junior researcher, Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, Ekaterinburg, Russia. Tel: +7(992)335-47-13. E-mail:  cat93_07@mail.ru. ORCID:  0000-0002-3035-2862. 620146, Russia, Ekaterinburg, Repin str., 1.
Maria V. Lazukina, post-graduate student, researcher, Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, Ekaterinburg, Russia. Tel: +7(904)388-83-24. E-mail: masha_balueva@mail.ru. ORCID:  0000-0002-0525-0856. 620146, Russia, Ekaterinburg, Repin str., 1.
Maria A. Lukach, resident of the Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, Ekaterinburg, Russia. Tel: +7(992)024-78-11. E-mail: mary.lukach13@gmail.com. ORCID:  0000-0001-5570-3713. 620146, Russia, Ekaterinburg, Repin str., 1.
Elisaveta M. Minyaylo, resident of the Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation, Ekaterinburg, Russia.
Tel: + 7(982)754-22-85. E-mail: liza_bobba@mail.ru. ORCID:  0000-0003-2521-4139. 620146, Russia, Ekaterinburg, Repin str., 1.

For citation: Malgina G.B., Mikhelson A.A., Melkozerova O.A., Okulova E.O., Lazukina M.V., Lukach M.A. Minyaylo E.M. Features of elective medical care provided to patients with gynecological diseases under conditions of a risk for spreading the novel coronavirus infection. Experience of the Urals Region.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 1: (in Russian).
https://dx.doi.org/10.18565/aig.2021.1.133-139

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