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Journals / Kocatepe Tıp Dergisi / 2026 / Cilt: 26 Sayı: 1

ELECTIVE GYNECOLOGICAL SURGERY DURING COVID-19 PANDEMIC: A SINGLE CENTER EXPERIENCE

COVİD-19 PANDEMİSİ SIRASINDA ELEKTİF JİNEKOLOJİK CERRAHİ: TEK MERKEZ DENEYİMİ

Rıza Dur(Department of Obstetrics and Gynecology, Afyonkarahisar Health Sciences University Hospital,)0000-0002-9225-9030
Fatih Çelik(Afyonkarahisar Health Sciences University Hospital, Department of Obstetrics and Gynecology)0000-0001-5599-6093
Betül Ahat(Department of Obstetrics and Gynecology, Afyonkarahisar Health Sciences University Hospital,)0000-0002-9660-7696
Mariam Chkhikvadze(Department of Obstetrics and Gynecology, Afyonkarahisar Health Sciences University Hospital,)0000-0003-4458-1460
Ayşe Yalçınkaya Yılmaz(Department of Obstetrics and Gynecology, Afyonkarahisar Health Sciences University Hospital,)0000-0002-3977-8333
Mine Kanat Pektaş(Department of Obstetrics and Gynecology, Afyonkarahisar Health Sciences University Hospital,)0000-0003-2862-3288
Pages
69–75
Publication Date
2025-01-27
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Concurrent existence of hypertension and diabetes mellitus and cervical cerclage might be associated with postoperative contagion of COVID-19.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: This study aims to assess the experience of a tertiary health center about the elective gynecological operations between the two peaks of COVID-19 pandemic.
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Key Findings & Data:MATERIAL AND METHODS: This is a retrospective review of 609 patients who underwent elective gynecological surgery at Afyonkarahisar Health Sciences University Hospital from 15 March 2020 to 30 April 2021.
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Conclusion & Impact:Concurrent existence of hypertension and diabetes mellitus and cervical cerclage might be associated with postoperative contagion of COVID-19.
🔬Design:Review & Systematic Survey
📍Scope:2020 Verileri
⚙️Variables:covid-19 · jinekoloji · cerrahi

Abstract

OBJECTIVE: This study aims to assess the experience of a tertiary health center about the elective gynecological operations between the two peaks of COVID-19 pandemic. MATERIAL AND METHODS: This is a retrospective review of 609 patients who underwent elective gynecological surgery at Afyonkarahisar Health Sciences University Hospital from 15 March 2020 to 30 April 2021. RESULTS: All patients tested negative for COVID-19 preoperatively and 17 patients (2.8%) contracted COVID-19 during the 8-week-long period after the hospital discharge. The averagetime to test positivity was calculated as 4.0±1.3 weeks (range:2-7 weeks). The most common indications for elective gynecological surgeries were abnormal bleeding (30.9%), adnexal mass (19.2%) and uterine leiomyoma (16.9%). Operative hysteroscopy was the most performed gynecological operation (26%),followed by abdominal hysterectomy (17.6%) and laparoscopic hysterectomy (16.2%). The concurrence of hypertension and diabetes mellitus, incompetent cervix and cervical cerclage wassignificantly more prevalent in the patients who tested positive for COVID-19 after surgery (p=0.001 for all). The patients whotested positive for COVID-19 following hospital discharge andthose who did not contract COVID-19 were statistically similarwith respect to postoperative complications and duration ofhospitalization. Four patients (0.65%) who underwent electivegynecological surgery died within 8 weeks following the hospital discharge. None of the deaths were related to COVID-19infection. CONCLUSIONS: Performing elective gynecological surgery appears as a safe approach during COVID-19 pandemic. Concurrent existence of hypertension and diabetes mellitus and cervical cerclage might be associated with postoperative contagion of COVID-19.

Özet

AMAÇ: Bu çalışma, tersiyer bir sağlık merkezinin, COVID-19 salgınının iki pik dönemi arasındaki elektif jinekolojik operasyonlarla ilgili deneyimini değerlendirmeyi amaçlamaktadır. GEREÇ VE YÖNTEM: 15 Mart 2020 ile 30 Nisan 2021 tarihleri arasında Afyonkarahisar Sağlık Bilimleri Üniversitesi Hastanesi'nde elektif jinekolojik cerrahi uygulanan 609 hasta retrospektif olarak incelenmiştir. BULGULAR: Tüm hastaların ameliyat öncesinde yapılan covid-19 testleri negatif çıkmış ve 17 hasta (%2,8) hastaneden taburcu olduktan sonraki 8 haftalık süreçte COVİD-19'a yakalandı. Pozitif test sonucunun elde edilmesi için geçen ortalama süre 4,0±1,3 hafta (aralık: 2-7 hafta) olarak hesaplandı. Elektif jinekolojik ameliyatların en sık endikasyonları anormal kanama (%30,9), adneksiyal kitle (%19,2) ve uterin leiomyoma (%16,9) idi. Operatif histeroskopi en çok uygulanan jinekolojik operasyon (%26) olurken, bunu abdominal histerektomi (%17,6) ve laparoskopik histerektomi (%16,2) izledi. Hipertansiyon ve diyabet birlikteliği, servikal yetmezlik ve servikal serklaj, ameliyat sonrası COVİD-19 testi pozitif çıkan hastalarda anlamlı olarak daha fazla görüldü (tümü için p=0,001). Hastaneden taburcu olduktan sonra COVİD-19 testi pozitif çıkan hastalar ile covid-19'a yakalanmayanlar, ameliyat sonrası komplikasyon ve hastanede kalış süresi açısından istatistiksel olarak benzerdi. Elektif jinekolojik cerrahi uygulanan 4 hasta (%0,65) hastaneden taburcu olduktan sonraki 8 hafta içinde hayatını kaybetti. Ölümlerin hiçbiri COVİD-19 enfeksiyonuyla ilgili değildi. SONUÇ: Elektif jinekolojik cerrahinin uygulanması COVID-19 salgını sırasında güvenli bir yaklaşım olarak karşımıza çıkmaktadır. Hipertansiyon ve diyabetin eş zamanlı varlığı ve servikal serklaj, COVİD-19'un postoperatif bulaşmasıyla ilişkili olabilir.

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Cite This Article

Dur, R., Çelik, F., Ahat, B., Chkhikvadze, M., Yılmaz, A. Y., Pektaş, M. K. (2025). ELECTIVE GYNECOLOGICAL SURGERY DURING COVID-19 PANDEMIC: A SINGLE CENTER EXPERIENCE. Kocatepe Tıp Dergisi, Cilt: 26 Sayı: 1, 69–75. https://doi.org/10.18229/kocatepetip.1471868

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