2 ; 1 ; in Month : September (2020) Article No : gjsst-v2-1010
Abdulmalik Bako1*,Arabo Ibrahim Bayo2, Moayyad Ahm

Abstract
Aim The World Health Organisation declared COVID-19 a pandemic in March 2020 and since then COVID-19 infection has been reported in all parts of the world. Several Healthcare systems reduced or cancelled none emergency or urgent surgeries in order to effectively manage the pandemic. Recently, the reported incidence of new cases of COVID-19 has been reducing in some regions and some Healthcare systems are resuming elective gynaecology surgery. This narrative review explores the challenges of planning and resuming elective gynaecology surgery in a climate of continuing community transmission. Methods A search of the literature using PubMed and EMBASE was conducted on the challenges of performing and resuming elective gynaecology surgery during recovery from Covid-19 pandemic. Results This narrative review explored the challenges of uncertainty, testing, PPE, staff wellbeing, case scheduling and medical education during planning and resumption of gynaecology surgery. Strategies of mitigating the challenges are discussed. Conclusions Resuming elective gynaecological procedures in a climate of continuing community transmission of COVID-19 is associated with challenges. Continuous community education and practice of preventives measures of social distancing, regular hand hygiene and facial covering are required in order to reduced the impact of continuing community transmission on resources. Strategies to mitigate the impact of continuous community transmission on gynaecology care, training and well-being of healthcare professionals including flexibility in the delivery of care, the adoption of surgical principles and protocols that optimize the experience of patients with the preservation of PPE and health resources should be adopted.

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