Expert consensus from the Italian Society for Colposcopy and Cervico-Vaginal Pathology (SICPCV) for colposcopy and outpatient surgery of the lower genital tract during the COVID-19 pandemic
Expert consensus from the Italian Society for Colposcopy and Cervico-Vaginal Pathology (SICPCV) for colposcopy and outpatient surgery of the lower genital tract during the COVID-19 pandemic
复制标题
DOI：
10.1002/ijgo.13158
复制
发表时间：
2020-04-22
影响因子：
3.8
通讯作者：
Barbero, Maggiorino
中科院分区：
文献类型：
--
作者：
Ciavattini, Andrea;Delli Carpini, Giovanni;Barbero, Maggiorino
在新冠肺炎大流行背景下，以下情况需要在2-4周内进行评估：细胞学结果为“鳞状细胞癌”、“非典型腺体细胞、肿瘤倾向”、“宫颈内膜原位腺癌”或“腺癌”；组织病理学诊断怀疑宫颈/阴道活检的侵袭，或宫颈切除术、阴道切除术或外阴活检/切除术后的侵袭性疾病；突然出现强烈暗示恶性肿瘤的症状。在2019冠状病毒病大流行期间，数字成像技术为与参考中心共享阴道镜图像提供了重要机会，目的是避免患者集中。所有患者都必须接受COVID-19暴露筛查，并应佩戴外科口罩。一个高效的过滤排烟系统是必要的，以消除手术烟雾。电手术器械应设置在尽可能低的功率，不要长时间连续使用，以减少手术烟雾的量。应使用以下个人防护装备：无菌防液体手术手套、下层手套、护目镜、FFP3口罩、手术帽和手术服。阴道镜应用一次性透明罩保护。每次使用后应使用必须消毒的保护镜片。最好使用视频阴道镜。
In the context of the COVID-19 pandemic, patients need to be evaluated within 2-4 weeks in the following cases: cytology result of "squamous cell carcinoma," "atypical glandular cells, favor neoplastic," "endocervical adenocarcinoma in situ," or "adenocarcinoma"; histopathological diagnosis of suspected invasion from cervical/vaginal biopsy, or invasive disease after a cervical excision procedure, vaginal excision, or vulvar biopsy/excision; sudden onset of strongly suggestive symptoms for malignancy. Digital imaging technologies represent an important opportunity during the COVID-19 pandemic to share colposcopic images with reference centers, with the aim of avoiding any concentration of patients. All patients must undergo screening for COVID-19 exposure and should wear a surgical mask. A high-efficiency filter smoke evacuation system is mandatory to remove surgical smoke. Electrosurgical instruments should be set at the lowest possible power and not be used for long continuous periods to reduce the amount of surgical smoke. The following personal protective equipment should be used: sterile fluid-repellant surgical gloves, an underlying pair of gloves, eye protection, FFP3 mask, surgical cap, and gown. The colposcope should be protected by a disposable transparent cover. A protective lens that must be disinfected after each use should be applied. The use of a video colposcope should be preferred.