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Editorial
. 2020 Jul-Aug;27(5):1030-1032.
doi: 10.1016/j.jmig.2020.05.019. Epub 2020 May 27.

Joint Statement on Re-introduction of Hospital and Office-based Procedures for the Practicing Urogynecologist and Gynecologist

No authors listed
Editorial

Joint Statement on Re-introduction of Hospital and Office-based Procedures for the Practicing Urogynecologist and Gynecologist

No authors listed. J Minim Invasive Gynecol. 2020 Jul-Aug.
No abstract available

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Figures

Fig 1
Fig. 1
Modified Elective Surgery Acuity Scale for benign gynecologic indications and surgeries. *Tier b indicates patients with complicated medical conditions that, in the environment of COVID-19, may place them at high-risk for ICU admission and increased perioperative morbidity and mortality. This will likely affect the order of prioritization of individuals for surgery. For example, in an environment where we are just opening surgical suites, we may determine that even though the acuity of the surgical problem is high, the tier 3b women would not go to surgery before the tier 2a women. By contrast, when the risk of COVID-19 morbidity and mortality is lower, a tier 3b woman might go ahead of a tier 2a woman who is healthy. Ranking of the tiers is dependent on the COVID-19 environment. AMH = antimüllerian hormone; ASA = American Society of Anaesthesiologists; ASC = ambulatory surgery center; AUB = abnormal uterine bleeding; CIN = CPP = chronic pelvic pain; EIN = endometrial intraepithelial neoplasm; EMB = endometrial biopsy; GYN = gynecologic; ICU = intensive care unit; LARC = long-acting reversible contraception; MUS = midurethral sling; PMB = postmenopausal bleeding; SAB = spontaneous abortion; SIS = saline infusion sonography; TOA = tubo-ovarian abscess; TVUS = transvaginal ultrasonography; UDS = urodynamics; UTI = urinary tract infection.
Fig 2
Fig. 2
Acuity scale for office-based gynecologic procedures. CPP = chronic pelvic pain; GYN = gynecology; HSG = hysterosalpingogram; ISC = intermittent self-catheterization; IUD = intrauterine device; LARC = long-acting, reversible contraception; LEEP = loop electrosurgery excision procedure; PTNS = percutaneous tibial nerve stimulation; REI = reproductive endocrinology and infertility; SIS = saline infusion sonography; TVUS = transvaginal ultrasonography; UDS = urodynamics; UroGYN = urogynecology.
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References

    1. American College of Surgeons. COVID-19: guidance for triage of non-emergent surgical procedures. Available at:https://www.facs.org/covid-19/clinical-guidance/triage. Accessed 21 April 2020.
    1. Ross SW, Lauer CW, Miles WS. Maximizing the calm before the storm: tiered surgical response plan for COVID-19. Am J Coll Surg. 2020;230:1080–1091. e3. - PMC - PubMed
    1. Goldman HB, Haber GP. Editorial Comment. J Urol. 2020;203 609–609. - PubMed
    1. Weber LeBrun EE, Moawad NS, Rosenberg EI. Coronavirus disease 2019 pandemic: stage management of surgical services for gynecology and obstetrics. Am J Obstet Gynecol. 2020 Apr 3 [Epub ahead of print] - PMC - PubMed
    1. American Society Reproductive Medicine. A message from the SRS and ASRM regarding surgery during the COVID-19 pandemic. Available at: https://www.asrm.org/news-and-publications/news-and-research/announcemen.... Accessed June 8, 2020.

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