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Robotic-assisted Total Hysterectomy with Low Pneumoperitoneal Pressure (6 mmHg) and Use of Surgical Plume Evacuator System to Minimize Potential Airborne Particles According to the Joint Statement on Minimally Invasive Gynecologic Surgery during the COVID-19 Pandemic: A Case Report from Japan
We presented a case of uncontrolled genital bleeding caused by subserosal fibroid and treated by robotic-assisted hysterectomy during the coronavirus disease 2019 (COVID-19) pandemic. A 49-year-old woman had severe anemia with hypermenorrhea due to submucosal fibroid. Hysterectomy was deemed necessa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9212180/ https://www.ncbi.nlm.nih.gov/pubmed/35746902 http://dx.doi.org/10.4103/GMIT.GMIT_131_20 |
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author | Ota, Yoshiaki Ota, Kuniaki Takahashi, Toshifumi Suzuki, Soichiro Sano, Rikiya Shiota, Mitsuru |
author_facet | Ota, Yoshiaki Ota, Kuniaki Takahashi, Toshifumi Suzuki, Soichiro Sano, Rikiya Shiota, Mitsuru |
author_sort | Ota, Yoshiaki |
collection | PubMed |
description | We presented a case of uncontrolled genital bleeding caused by subserosal fibroid and treated by robotic-assisted hysterectomy during the coronavirus disease 2019 (COVID-19) pandemic. A 49-year-old woman had severe anemia with hypermenorrhea due to submucosal fibroid. Hysterectomy was deemed necessary to control genital bleeding. However, at that time, the number of confirmed COVID-19 cases has been increasing in Japan. Serious concerns have been raised about the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) dissemination during minimally invasive surgery due to pneumoperitoneum-associated aerosolization of particles. We tried to prevent the spread of surgical plume by performing surgery under low pneumoperitoneal pressure at 6 mmHg and by using an evacuation/filtration system. As a result, we successfully performed robotic-assisted hysterectomy with minimized risk of spreading surgical plume-containing aerosol particles into the operating room. It is essential to follow the guidelines issued by the relevant societies and act accordingly to reduce the risk of SARS-CoV-2 infection in medical settings while performing surgery. We hope that our experience will help prevent secondary cases of future SARS-CoV-2 infections. |
format | Online Article Text |
id | pubmed-9212180 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-92121802022-06-22 Robotic-assisted Total Hysterectomy with Low Pneumoperitoneal Pressure (6 mmHg) and Use of Surgical Plume Evacuator System to Minimize Potential Airborne Particles According to the Joint Statement on Minimally Invasive Gynecologic Surgery during the COVID-19 Pandemic: A Case Report from Japan Ota, Yoshiaki Ota, Kuniaki Takahashi, Toshifumi Suzuki, Soichiro Sano, Rikiya Shiota, Mitsuru Gynecol Minim Invasive Ther Case Report We presented a case of uncontrolled genital bleeding caused by subserosal fibroid and treated by robotic-assisted hysterectomy during the coronavirus disease 2019 (COVID-19) pandemic. A 49-year-old woman had severe anemia with hypermenorrhea due to submucosal fibroid. Hysterectomy was deemed necessary to control genital bleeding. However, at that time, the number of confirmed COVID-19 cases has been increasing in Japan. Serious concerns have been raised about the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) dissemination during minimally invasive surgery due to pneumoperitoneum-associated aerosolization of particles. We tried to prevent the spread of surgical plume by performing surgery under low pneumoperitoneal pressure at 6 mmHg and by using an evacuation/filtration system. As a result, we successfully performed robotic-assisted hysterectomy with minimized risk of spreading surgical plume-containing aerosol particles into the operating room. It is essential to follow the guidelines issued by the relevant societies and act accordingly to reduce the risk of SARS-CoV-2 infection in medical settings while performing surgery. We hope that our experience will help prevent secondary cases of future SARS-CoV-2 infections. Wolters Kluwer - Medknow 2022-05-04 /pmc/articles/PMC9212180/ /pubmed/35746902 http://dx.doi.org/10.4103/GMIT.GMIT_131_20 Text en Copyright: © 2022 Gynecology and Minimally Invasive Therapy https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Ota, Yoshiaki Ota, Kuniaki Takahashi, Toshifumi Suzuki, Soichiro Sano, Rikiya Shiota, Mitsuru Robotic-assisted Total Hysterectomy with Low Pneumoperitoneal Pressure (6 mmHg) and Use of Surgical Plume Evacuator System to Minimize Potential Airborne Particles According to the Joint Statement on Minimally Invasive Gynecologic Surgery during the COVID-19 Pandemic: A Case Report from Japan |
title | Robotic-assisted Total Hysterectomy with Low Pneumoperitoneal Pressure (6 mmHg) and Use of Surgical Plume Evacuator System to Minimize Potential Airborne Particles According to the Joint Statement on Minimally Invasive Gynecologic Surgery during the COVID-19 Pandemic: A Case Report from Japan |
title_full | Robotic-assisted Total Hysterectomy with Low Pneumoperitoneal Pressure (6 mmHg) and Use of Surgical Plume Evacuator System to Minimize Potential Airborne Particles According to the Joint Statement on Minimally Invasive Gynecologic Surgery during the COVID-19 Pandemic: A Case Report from Japan |
title_fullStr | Robotic-assisted Total Hysterectomy with Low Pneumoperitoneal Pressure (6 mmHg) and Use of Surgical Plume Evacuator System to Minimize Potential Airborne Particles According to the Joint Statement on Minimally Invasive Gynecologic Surgery during the COVID-19 Pandemic: A Case Report from Japan |
title_full_unstemmed | Robotic-assisted Total Hysterectomy with Low Pneumoperitoneal Pressure (6 mmHg) and Use of Surgical Plume Evacuator System to Minimize Potential Airborne Particles According to the Joint Statement on Minimally Invasive Gynecologic Surgery during the COVID-19 Pandemic: A Case Report from Japan |
title_short | Robotic-assisted Total Hysterectomy with Low Pneumoperitoneal Pressure (6 mmHg) and Use of Surgical Plume Evacuator System to Minimize Potential Airborne Particles According to the Joint Statement on Minimally Invasive Gynecologic Surgery during the COVID-19 Pandemic: A Case Report from Japan |
title_sort | robotic-assisted total hysterectomy with low pneumoperitoneal pressure (6 mmhg) and use of surgical plume evacuator system to minimize potential airborne particles according to the joint statement on minimally invasive gynecologic surgery during the covid-19 pandemic: a case report from japan |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9212180/ https://www.ncbi.nlm.nih.gov/pubmed/35746902 http://dx.doi.org/10.4103/GMIT.GMIT_131_20 |
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