Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 May;64(3):322-326.
doi: 10.5468/ogs.20312. Epub 2021 Jan 27.

Laparoscopic gynecological surgery in COVID-19 pandemic

Kallol Kumar Roy  1 , Rakhi Rai  1 , Rinchen Zangmo  1 , Archana Kumari  1 , Nilofar Noor  1 , Deepali Garg  1
Affiliations

Laparoscopic gynecological surgery in COVID-19 pandemic

Kallol Kumar Roy et al. Obstet Gynecol Sci. 2021 May.

Abstract

The major concern that has confronted surgeons during the COVID-19 pandemic is the risk of infection during surgery. So far, no studies have found SARS-CoV-2 in surgical smoke, and if it was found, whether it was infectious or not is unknown. To date, no evidence shows that respiratory viruses can be transmitted through a surgical plume or an aerosolized gas. There are various advantages of laparoscopy over laparotomy that must be kept in mind in the COVID-19 era, such as early recovery and shorter hospital stay, which can greatly help to conserve valuable hospital resources, and reduced risk of spillage of blood and body fluids, which can help to reduce transmission risk; most importantly, the distance between surgeons and between surgeons and patient is greater. Certain precautionary measures can be taken to reduce SARS-CoV-2 transmission during laparoscopy. Whenever possible, it should be the surgical option of choice.

Keywords: COVID-19; Laparoscopy; Pneumoperitoneum; SARS CoV-2; Smoke evacuation.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest

There is no potential conflict of interest relevant to this article.

References

    1. Vigneswaran Y, Prachand VN, Posner MC, Matthews JB, Hussain M. What is the appropriate use of laparoscopy over open procedures in the current COVID-19 climate? J Gastrointest Surg. 2020;24:1686–91. - PMC - PubMed
    1. Coccolini F, Tartaglia D, Puglisi A, Giordano C. SARS-CoV-2 is present in peritoneal fluid in COVID-19 patients. Ann Surg. 2020;272:e240–2. - PMC - PubMed
    1. Ngaserin SH, Koh FH, Ong BC, Chew MH. COVID-19 not detected in peritoneal fluid: a case of laparoscopic appendicectomy for acute appendicitis in a COVID-19-infected patient. Langenbecks Arch Surg. 2020;405:353–5. - PMC - PubMed
    1. Angioni S. Laparoscopy in the coronavirus disease 2019 (COVID-19) era. Gynecol Surg. 2020;17:3. - PMC - PubMed
    1. European Society for Gynaecological Endoscopy (2020) ESGE recommendations on gynaecological endoscopic surgery during Covid-19 outbreak [Internet] Leuven: European Society for Gynaecological Endoscopy; c2020. [cited 2020 Apr 19]. Available from: https://esge.org/wp-content/uploads/2020/04/ESGE-Gynaecological-surgery-....