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IAGE SURVEY- GYNAECOLOGICAL ENDOSCOPIC SURGERY IN COVID ERA
Home
IAGE SURVEY- GYNAECOLOGICAL ENDOSCOPIC SURGERY IN COVID ERA
IAGE SURVEY- GYNAECOLOGICAL ENDOSCOPIC SURGERY IN COVID ERA
Personal Details
Doctor Name 1
*
Doctor Name2
*
Email ID
*
Mobile No:
*
Complete postal Address (Residence):
*
City
Pincode
Hospital name 1
Nature of Hospital 1
Hospital name 2
Nature of Hospital 2
Survey Details
1. NUMBER OF ENDOSCOPIC SURGERIES PERFORMED DURING THE PERIOD APRIL- AUGUST 2020
SURGERIES
COVID
NON-COVID
UN-KNOWN
a) LAPAROSCOPY
*
MINOR
*
(30 mins)
INTERMEDIATE
*
( up to 1 hour)
MAJOR
*
( 2 hours)
SUPRAMAJOR
(> 2 hours)
*
b)HYSTEROSCOPY
*
2. PERCENTAGE OF FALL IN PROCEDURE NUMBERS DURING PANDEMIC
%
3. USE OF A SPECIAL CONSENT FORM WITH ADDITIONAL INFORMATION ABOUT COVID 19 AND ITS ASSOCIATED RISKS OBTAINED-
Yes
No
4. PRE-OP INVESTIGATIONS
a) SCREENING FOR COVID
DONE
NOT DONE
MINOR
INTERMEDIATE
MAJOR
SUPRAMAJOR
HYSTEROSCOPY
b. METHODS:
RT PCR
ANTIGEN
ANTIBODIES
C. HR CT DONE-
IF DONE (Please Tick)
FOR ALL
MAJOR
SUPRAMAJOR
5.HOSPITAL FACILITY- OT SAFETY MEASURES
a) DEDICATED COVID THEATRE
Yes
No
b) NEGATIVE PRESSURE OT
Yes
No
c) OT STAFF (REDUCTION/REALLOCATION)
DONE
NOT DONE
d) FULL PPE KITS USED BY OT STAFF AND ALL HCW -
COVID
Yes
No
NON COVID
Yes
No
e) AHU - PRESENT / ABSENT
f) SPECIALISED SMOKE EVACUATORS USED
Yes
No
g) INDIGENOUS SMOKE EVACUATION METHODS
Yes
No
6. ANESTHESIA USED -
a) LAPAROSCOPY
i) GA
Yes
No
TIVA
LMA
ENDOTRACHEAL INTUBATION
ii) SPINAL
Yes
No
iii) EPIDURAL
Yes
No
iv) COMBINATION
Yes
No
b) HYSTEROSCOPY
i) GA
Yes
No
TIVA
LMA
ENDOTRACHEAL INTUBATION
ii) REGIONAL
Yes
No
7. ANESTHESIA FACILITIES -
a) WORKSTATION
Present
ABSENT
b) INTUBATION BOX
Yes
No
c) VIDEO LARYNGOSCOPE
Yes
No
8. ENERGY USED
a) MONOPOLAR/ BIPOLAR
Covid
Yes
No
NA
Non-Covid
Yes
No
b) VESSEL SEALERS
Covid
Yes
No
NA
Non-Covid
Yes
No
c) HARMONIC
Covid
Yes
No
NA
Non-Covid
Yes
No
9. CHANGES IN INTRA-OPERATIVE PROTOCOLS AT YOUR CENTRE
a) THE USE OF A STERILE CAMERA COVER MANDATORILY USED
Yes
No
b) HEAD LOW
MINOR
Yes
No
INTRA MAJOR
Yes
No
MAJOR, SUPRAMAJOR
Yes
No
c) INTRA-ABDOMINAL PRESSURE - < 12mm
/ 12-14mm
/14mm & ABOVE
d) SMALLER SKIN INCISIONS TO AVOID LEAKAGE FROM PORT SITE
Yes
No
e) DIRECT TROCAR ENTRY
Yes
No
Non-Covid
Yes
No
VEREES NEEDLE ENTRY
Yes
No
Non-Covid
Yes
No
OPEN ENTRY
Yes
No
Non-Covid
Yes
No
f) TYPE OF TROCARS PREFERRED
a) REUSABLE
Yes
No
Non-Covid
Yes
No
b) DISPOSABLE
Yes
No
Non-Covid
Yes
No
g) AT THE END OF THE SURGERY DEFLATION DONE BY CLOSED METHOD
Yes
No
10. SPECIMEN DELIVERY TECHNIQUE:
a) POWER MORCELLATION USED
Yes
No
b) SPECIMEN DELIVERY BY-
BAG
VAGINAL
MINILAP METHOD
TROCAR PORT
11. COMPLICATIONS -
a) INTRA OP - (SPECIFIC TO COVID)
b) HOW MANY PATIENTS DID BECOME COVID POSITIVE IN THE IMMEDIATE 15 DAYS POST OPERATIVE
c) MORBIDITY
/MORTALITY ( SPECIFIC TO COVID)--
IF MORTALITY - ANY
CO MORBIDITIES
MORTALITY DUE TO- RESPIRATORY COMPLICATIONS/SEPSIS/THROMBOEMBOLIC
d) ANY SIGNIFICANT/OBSERVATIONAL CHANGE IN SURGERY OUTCOMES FOR COVID PATIENTS
e) ANY SIGNIFICANT/OBSERVATIONAL CHANGE IN SURGERY OUTCOMES NON COVID PATIENTS
e) H/O POST SURGICAL COVID INFECTION TO STAFF
Choose
Yes
No
/ DOCTOR
Choose
Yes
No
12. POST-OPERATIVE OT PROTOCOLS
a) DEEP CLEANING & OR OT FUMIGATION BETWEEN EACH CASE
Yes
No
b) INSTRUMENTS STERILISATION
i) SOAKING IN 1% HYPOCHLORITE SOLUTION FOR 30 MINUTES
Yes
No
iii) ETO
Yes
No
iii) AUTOCLAVE
Yes
No
13. DO YOU FEEL THE COST OF THE SURGICAL TREATMENT HAS BECOME HIGHER-
Yes
No
14. IAGE GUIDELINES REFERRED
Yes
No