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View the American College of Obstetrics and Gynecology website for COVID-19 recommendations.
Suggestions from Temple University for handling the scheduling of OB/Gyn surgical cases during COVID19 pandemic.
Emergency surgeries (no delay)
- Ectopic pregnancy
- Spontaneous abortion
- Adnexal torsion
- Rupture tubal-ovarian abscess
- Tubal-ovarian abscess not responding to conservative therapy
- Acute and severe vaginal bleeding
- Cesarean section
- Emergency cerclage of the cervix based on pelvic exam/ultrasound findings
Surgeries that if significantly delayed could cause significant harm.
- Cancer or Suspected cancer
- Ovarian, Tubal or Peritoneal cancer
- Ovarian masses cancer is suspected
- Endometrial cancer and endometrial intraepithelial neoplasia
- Cervix cancer
- Vulvar cancer
- Vaginal cancer
- Gestational Trophoblastic Neoplasia
- Cerclage of the cervix to prevent premature delivery based on history
- Pregnancy termination (for medical indication or patient request)
Surgeries that could be delayed for a few weeks
- Chorionic villus sampling/amniocentesis (CVS is performed between 11 and 14 weeks of gestation; amniocentesis is performed 15-22 weeks of gestation)
- D&C with or without hysteroscopy for abnormal uterine bleeding (pre- or postmenopausal) when cancer is suspected
- Cervical conization or Loop Electro-Excision Procedure to exclude cancer
- Excision of precancerous or possible cancerous lesions of the vulva
Surgeries that can be delayed several months
- Sterilization procedures (e.g., salpingectomy)
- Surgery for fibroids (sarcoma is not suspected)
- Surgery for endometriosis, pelvic pain
- Surgery for adnexal masses that are most likely benign (e.g., dermoid cyst)
- Surgery for pelvic floor prolapse
- Surgery for urinary and/or fecal incontinence
- Therapeutic D&C with or without hysteroscopy with or without endometrial ablation for abnormal uterine bleeding and cancer is not suspected
- Cervical conization or Loop Electro-Excision Procedure for high grade squamous intraepithelial lesions
- Infertility procedures (e.g., hysterosalpingograms, most elective embryo transfers)
- Genital plastic surgery
- Excision of condyloma acuminata (if cancer is not suspected)
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