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Gynecologic oncology at the time of COVID-19 outbreak
Giorgio Bogani,Claudia Brusadelli,Rocco Guerrisi,Salvatore Lopez,Mauro Signorelli,Antonino Ditto,Francesco Raspagliesi 대한부인종양학회 2020 Journal of Gynecologic Oncology Vol.31 No.4
The World Health Organization (WHO) classified the novel coronavirus (i.e., coronavirusdisease 2019 [COVID-19]) as a global public health emergency. COVID-19 threatens tocurtail patient access to evidence-based treatment. Medicine is changing, basically due tothe limited available resources. In the field of gynecologic oncology, we have to re-designour treatments' paradigm. During COVID-19 pandemic outbreak, the highest priority is toachieve the maximum benefit from less demanding procedures. Extensive procedures shouldbe avoided, in order to reduce hospitalization and postoperative events that might increasethe in-hospital spread of the virus. There are ongoing concerns on the use of laparoscopicprocedures, related to the possible contamination of the staff working in the operation room. Other minimally invasive techniques, including, vaginal surgery as well as robotic-assistedand isobaric procedures would be preferred over laparoscopy. A fair allocation of resources isparamount adequate treatments.