Evidence map›Paper›PMID 33627981›Full record

ArticleJournal of human reproductive sciences

Safe Gynecological Laparoscopic Surgery during COVID Times.

Prakash Harikant Trivedi, Soumil Prakash Trivedi, Nilesh Maruti Ghadge, Dinesh Popatlal Bajani, Aditi Soumil Trivedi

Abstract read
In one paragraph

Article in Journal of human reproductive sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Prakash Harikant TrivediDirector, Dr. Trivedi's Total Health Care Centre and Aakar IVF-ICSI Centre, Mulund, Mumbai, Maharashtra, India.
Soumil Prakash TrivediConsultant Endoscopic Surgeon, Dr. Trivedi's Total Health Care Centre and Aakar IVF-ICSI Centre, Mulund, Mumbai, Maharashtra, India.
Nilesh Maruti GhadgeChief Anaesthetist, Dr. Trivedi's Total Health Care Centre and Aakar IVF-ICSI Centre, Mulund, Mumbai, Maharashtra, India.
Dinesh Popatlal BajaniSenior Anaesthetist, Dr. Trivedi's Total Health Care Centre and Aakar IVF-ICSI Centre, Mulund, Mumbai, Maharashtra, India.
Aditi Soumil TrivediFellow in Minimal Access Gynaecological Surgery, Dr. Trivedi's Total Health Care Centre and Aakar IVF-ICSI Centre, Mulund, Mumbai, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSARS-CoV-2 virus is largely transmitted via respiratory droplets and the highest transmission risks arise when undertaking aerosol generating procedures like laparoscopy. Most national societies had advised the urgent suspension of elective surgery with the focus shifting to emergency and cancer surgery only during this pandemic. However very little is known regarding the risks to the health care professionals undertaking emergency laparoscopic procedures. AIMS AND

objectiveTo demonstrate safety at laparoscopy by modifying the technique for safe management of patients during the COVID-19 pandemic. DESIGN AND

settingThis is an observational cohort study. This study was done at a tertiary care reference hospital for minimal access gynaecological surgery. Safety of 42 semi-urgent and emergency laparoscopic surgeries in patients was evaluated for a period of 5 months after taking informed written consent of patients to participate in the study. MATERIALS AND

methodsUse of double closed circuit laparoscopic suction evacuation and filtration systems with closed circuit anaesthesia with specialized Heat and Moisture Exchangers (HME) bacterial & viral (BV) filters to make laparoscopic surgery safe.

results57.14% of the patients were 41 years or more. 47.6% presented either with menorrhagia, irregular vaginal bleeding or post-menopausal vaginal bleeding and 26.19 % patients were keen to conceive. In 50% patients, surgery was done in 60 minutes or less. Post-operatively, none of the patients had any complications and all were followed up for 14 days for COVID-19 infection. No staff, doctors or anaesthetist were detected COVID-19 positive during the follow up period. The limitation of the study was, that it was an observational study done in COVID-19 negative patients only.

conclusionsSafety at laparoscopy can be maintained when it is performed by an experienced surgeon who has full knowledge of safe laparoscopic techniques and performs it in the shortest time possible and with all due precautions.

Indexed as

COVID-19LaparoscopyMinimally invasive surgerySARS-CoV-2Viral diffusion

Identifiers

PMID33627981
PMCPMC7879845

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.