Gynecologic surgery during the COVID-19 pandemic: Patan Hospital experience

Authors

DOI:

https://doi.org/10.3126/jpahs.v8i2.28537

Keywords:

COVID-19 Pandemic, Gynaecological Surgery, Lockdown, Pre-lockdown, Post-lockdown

Abstract

Introduction: The COVID-19 pandemic is a major challenge for health care services including safe and effective surgery. This study aims to analyze gynecological surgery delivery during COVID-19 pandemic.

Method:  Data on gynecologic surgeries performed at Patan Hospital from 01 Jan to 31 Dec,2020 during pre-lockdown , lockdown and post-lockdown  period of the COVID-19 pandemic were analyzed from medical record for surgical  procedures, blood transfusion, ICU stay, length of hospital stay, mortality, COVID-19 PCR positive cases. Chi-square and Anova tests were used to compare between three periods, p value <0.05 was considered statistically significant. Ethical approval was obtained.

Result: Out of 413 surgeries, 149(36.1%) were done during  pre-lockdown, 116(28.1%) during  lockdown   and 148(35.8%) during post-lockdown period. Major surgery was 155(37.5%), minor 249(60.3%), minimally invasive 9(2.2%) and 61(14.8%) required blood transfusion. Mean hospital stay was 3.75±3.711 d, 15(3.63%) stayed in ICU following procedure and 1(0.2%) expired. Thirteen patients were suspected with COVID-19 infection 8 were PCR positive. 

Conclusion: There was decrease in major procedures during lockdown period.

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Author Biographies

Anagha Pradhan Malla, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Assistant Professor, Department of Obstetrics and Gynaecology, Patan Hospital

Padma Gurung, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Assistant Professor, Department of Obstetrics and Gynecology, Patan Hospital

Sushma Lama, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Assistant Professor, Department of Obstetrics and Gynecology, Patan Hospital

Reena Shrestha Thapa, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Assistant Professor, Department of Obstetrics and Gynecology, Patan Hospital

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Published

2021-08-31

How to Cite

Pradhan Malla, A., Gurung, P., Lama, S., & Shrestha Thapa, R. (2021). Gynecologic surgery during the COVID-19 pandemic: Patan Hospital experience. Journal of Patan Academy of Health Sciences, 8(2), 25–31. https://doi.org/10.3126/jpahs.v8i2.28537

Issue

Section

COVID-19: Original Articles