Emergency And Elective Gynecological Surgery Morbidityin Covid 19 Pandemic

Objectives: In this study, we aimed to investigate the surgical morbidity changes in the surgical team behavior created by the pandemic in emergency and elective gynecological operations. Materials and Methods: A total of 100 patient files undergoing 50 emergency and 50 elective gynecological operations with benign indications between March 10 and May 30, 2020 were retrospectively reviewed.After recordıng the demographıc characterıstıcs of the two groups, the two groups were compared for intraoperative and postoperative complications and morbidity. Statistical analyses were performed using Statistical Package for the Social Sciences version 17.0 (SPSS Inc, Chicago, IL). groups were compared using the Kolmogorov-Smirnov test , Student's t test and Chi-square test. Results: The average age of the emergency cases was statistically significantly lower than the electives (p<0.001). Pregnancy and delivery numbers of the patients were also statistically significantly lower in the emergency group( p=0.028). In emergency cases, previous pelvic surgery and the presence of adhesions due to this were statistically significantly higher (p=0.050; p=0.021). Operation time and presence of systemic disease were significantly higher in the elective group(p= 0.001;p=0.046). It was determined that endoscopic surgery was preferred significantly more than elective in emergency cases(p=<0.001). It was determined that presence of obesity (Odds ratio= 1.54, %95 CI= 0.61-3.87, p=0.019) and adhesion (Odds ratio=4.21; %95 CI=1.26-14.04; p<0.001) were the independent factors related to surgical morbidity. Conclusions: Laparoscopic procedures seem to be safer because they reduce postoperative morbidities in patients who are hemodynamically stable and have a very good preoperative evaluation in the Covid 19 pandemic.