Safety of Three-Dimensional versus Two-Dimensional Laparoscopic Hysterectomy during the COVID-19 Pandemic

Dariusz Kowalczyk, Szymon Piątkowski, Maja Porażko, Aleksandra Woskowska, Klaudia Szewczyk, Katarzyna Brudniak, Mariusz Wójtowicz and Karolina Kowalczyk ()
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Dariusz Kowalczyk: Department of Anatomy, School of Medicine in Opole, University of Opole, 45-052 Opole, Poland
Szymon Piątkowski: Students’ Scientific Association of Gynecology and Obstetrics, School of Medicine in Opole, University of Opole, 45-052 Opole, Poland
Maja Porażko: Students’ Scientific Association of Gynecology and Obstetrics, School of Medicine in Opole, University of Opole, 45-052 Opole, Poland
Aleksandra Woskowska: Students’ Scientific Association of Gynecology and Obstetrics, School of Medicine in Opole, University of Opole, 45-052 Opole, Poland
Klaudia Szewczyk: Students’ Scientific Association of Gynecology and Obstetrics, School of Medicine in Opole, University of Opole, 45-052 Opole, Poland
Katarzyna Brudniak: Students’ Scientific Association of Gynecology and Obstetrics, School of Medicine in Opole, University of Opole, 45-052 Opole, Poland
Mariusz Wójtowicz: Department of Gynecological and Obstetrics Women’s and Child Health Center, Medical University of Silesia, 41-803 Zabrze, Poland
Karolina Kowalczyk: Department of Endocrinological Gynecology, Faculty of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, Poland

IJERPH, 2022, vol. 19, issue 21, 1-9

Abstract: Background: The COVID-19 pandemic has resulted in a significant decrease in the number of surgical procedures performed. Therefore, it is important to use surgical methods that carry the lowest possible risk of virus transmission between the patient and the operating theater staff. Aim: Safety evaluation of three-dimensional (3D) versus two-dimensional (2D) laparoscopic hysterectomy during the COVID-19 pandemic. Methods: 44 patients were assigned to a prospective case-control study. They were divided either to 3D ( n = 22) or 2D laparoscopic hysterectomy ( n = 22). Fourteen laparoscopic supracervical hysterectomies (LASH) and eight total laparoscopic hysterectomies (TLH) were performed in every group. The demographic data, operating time, change in patients’ hemoglobin level and other surgical outcomes were evaluated. Results: 3D laparoscopy was associated with a significantly shorter operating time than 2D. (3D vs. 2D LASH 70 ± 23 min vs. 90 ± 20 min, p = 0.0086; 3D vs. 2D TLH 72 ± 9 min vs. 85 ± 9 min, p = 0.0089). The 3D and 2D groups were not significantly different in terms of change in serum hemoglobin level and other surgical outcomes. Conclusions: Due to a shorter operating time, 3D laparoscopic hysterectomy seems to be a safer method both for both the surgeon and the patient. Regarding terms of possible virus transmission, it may be particularly considered the first-choice method during the COVID-19 pandemic.

Keywords: COVID-19 pandemic; three-dimensional laparoscopy; two-dimensional laparoscopy; laparoscopic supracervical hysterectomy; LASH; total laparoscopic hysterectomy; TLH (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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