Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website https://www.jcgo.org

Review

Volume 9, Number 3, September 2020, pages 31-36


Could Laparoscopic Concerns During Coronavirus Pandemic Affect the Care of Women With Pregnancy of Unknown Location/Ectopic Pregnancy?

Figure

Figure 1.
Figure 1. Proposed algorithm for the management of PUL during COVID-19 pandemic. COVID-19: coronavirus disease 2019; PUL: pregnancy of unknown location; bhCG: blood human chorionic gonadotropin.

Table

Table 1. Summary of Available Studies Regarding Presence of Bacteria/Viruses in Surgical Smoke and Transmission of Relevant Infections
 
StudiesFindings
HBV: hepatitis B virus; GAS: group A Streptococcus; DNA: deoxyribonucleic acid; HCV: hepatitis C virus; HIV: human immunodeficiency virus; HPV: human papillomavirus; PCR: polymerase chain reaction.
Laparoscopy
  Blood-borne
    Kwak et al, 2016 [2]HBV detected in surgical smoke, n = 10 out of 11
  Airborne
    Ramesh et al, 2003 [5]Tuberculosis, n = 8
    Al-ajmi et al, 2012 [4]GAS, n = 2 out of 46
    Chowdhury et al, 2011 [6]Mycobacterium tuberculosis, viral DNA of HBV, HCV, HIV and HPV in surgical smoke
Open procedures
  Blood-borne
    Johnson et al, 1991 [3]HIV blood samples
    Zhou et al, 2019 [9]HPV PCR, 29.9% of n = 134
    Sawchuk et al, 1989 [10]HPV PCR, 5 out of 8 lasers, 4 out of 7 electrocoagulation processes
  Airborne
    Chowdhury et al, 2011 [6]Mycobacterium tuberculosis, viral DNA of HBV, HCV, HIV and HPV
Others
    Capizzi et al, 1998 [15]Staphylococcus, Corynebacterium, Neisseria, n = 13
    Taravella et al, 1999 [11]Poliovirus