Abstract

<h3>Objectives</h3> COVID-19 pandemic has affected the systems in all hospitals and non-essential elective surgeries were deferred. In this retrospective study we have evaluated results and complications of gynaecological cancer surgeries in a tertiary care hospital during the first 9 months of covid pandemic in our country. <h3>Methods</h3> We retrospectively analyzed the medical charts of patients who underwent these surgeries from March-December, 2020. <h3>Results</h3> The study included 116 patients, 48 endometrial, 50 ovarian, 14 cervical and 4 vulval &amp;vaginal cancers. Majority of cancers were early stage (64%). The median age was 58 years (range 22–85years). Surgical approach was laparotomy in 77.6% including 48% complex surgeries. Based on the BGCS framework for prioritization of these surgeries, most of our surgeries belong to priority level 2(89%) and 3(11%). COVID verbal screening (by a questionnaire) was done in 90% of patients starting in Mid-March. Formal COVID testing by PCR for all pre-operative patients was commenced in April and hence 89(77%) of all patients underwent this testing. Only 2 patients were found COVID positive and the surgery was deferred for 4 weeks. Complications based on Clavien-Dindo grade 1, grade 4a and grade 5 were observed in 4 patients. Median hospital stay was 5 days. Out of 12 patients with clinical suspicion of COVID within 30 days of surgery 3 were found to be covid positive, including one requiring ICU admission. <h3>Conclusions</h3> The results show that with adequate preventive measures cancer surgeries can be performed with low risk of severe complications and post-surgical COVID positivity.

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