FEATURES OF ELECTIVE MEDICAL CARE PROVIDED TO PATIENTS WITH GYNECOLOGICAL DISEASES UNDER CONDITIONS OF A RISK FOR SPREADING THE NOVEL CORONAVIRUS INFECTION. EXPERIENCE OF THE URALS REGION


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Abstract

Objective. To analyze the data available in the modern scientific literature on the features of elective medical care provided to patients with gynecological diseases under conditions of a risk for spreading the novel coronavirus infection and to present the experience of the Urals Region. Materials and methods. The review includes the data of articles from the international peer-reviewed journals available in databases in 2018-2020. Modern publications on the topic of the study were considered. Results. The paper describes the main features of providing elective surgical care in case of the Gynecology Department, Urals Scientific Research Institute for Maternity and Child Care, Ministry of Health of the Russian Federation. It presents the basic principles of patient admission to a gynecology hospital and details the distinctive features of laparoscopic interventions under conditions of a risk for spreading the novel coronavirus infection. In the period from June to September 2020, a total of258patients were operated on in the Gynecology Department, Urals Scientific Research Institute for Maternity and Child Care, when providing high-tech and specialized medical care. An algorithm was elaborated for the provision of elective specialized care in the Gynecology Department in an inpatient setting. Conclusion. The work of an elective surgical service must correspond to the specific epidemiological situation under dynamically changing conditions, having the safety of society and the patient as an absolute priority. When providing high-tech medical care, compliance with anti-epidemic measures at the prehospital stage and during inpatient treatment enables COVID-19 cases to be avoided in both patients and medical workers.

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About the authors

Galina B. MALGINA

Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation

Email: galinamalgina@mail.ru
MD, DSc, Associate Professor, Director Yekaterinburg, Russia

Anna A. MIKHELSON

Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation

Email: ann_lukach@list.ru
MD, Head of the Department of Preservation of the Reproductive Function of Women, Head of the Gynecological Department Yekaterinburg, Russia

Oksana A. MELKOZEROVA

Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation

Email: abolmedl@mail.ru
MD, DSc, Associate Professor, Deputy Director for Research Yekaterinburg, Russia

Ekaterina O. OKULOVA

Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation

Email: cat93_07@mail.ru
post-graduate student, junior researcher Yekaterinburg, Russia

Maria V. LAZUKINA

Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation

Email: masha_balueva@mail.ru
mashabalueva@mail.ru Yekaterinburg, Russia

Maria A. LUKACH

Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation

Email: mary.lukachl3@gmail.com
resident Yekaterinburg, Russia

Elisaveta M. MINYAYLO

Urals Scientific Research Institute for Maternal and Child Care, Ministry of Health of the Russian Federation

Email: liza_bobba@mail.ru
resident Yekaterinburg, Russia

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