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Impact of COVID-19 on Gynaecology Robotic Surgical Practice
BIARGS Robotic practice survey in COVID-19 pandemic
1.
Where is your primary robotic practice
UK based mainly Gynaeoncology surgeon
UK based both Gynaeoncology and benign Gynaecology surgeon
UK based mainly benign Gynaecology surgeon
Non-UK based mainly Gynaeoncology surgeon
Non-UK based both Gynaeoncology and benign Gynaecology surgeon
Non-UK based mainly Gynaeoncology surgeon
Other (please specify)
2.
How did the start of COVID-19 pandemic impact on your robotic practice in your hospital?.
Gynaecology Robotic surgery was stopped as my hospital was converted to acute COVID site
Gynaecology Robotic surgery was stopped mainly due to perceived risk of aerosol generating procedure
Gynaecology Robotic surgery was stopped mainly due to lack of theatre capacity due to staff absence
Gynaecology Robotic surgery was stopped due to prioritisation of urology cases
Not at all , continued as before pandemic
Other
Other (please specify)
3.
How easy or difficult is it for you to work effectively these days? ( Are you able to book robotic list as before pandemic)
My practice is same except brief pause at the start of pandemic due to perceived uncertainty with aerosol generating procedure risk and lack of theatre space
My practice restarted after initial few months pause due to uncertainty of aerosol generating procedures and lack of theatre space, however the number of cases are half than before
My practice has now restarted after 6 months of pause due to lack of theatre capacity and case load is as before
My practice has now restarted after 6 months of pause due to lack of theatre capacity, however access is on add-hoc basis
Very difficult, we have not restarted robotic surgery for gynaecology yet due to urology pressures.
other reasons
Other (please specify)
4.
What are the TOP THREE biggest challenges you are currently facing to practice robotic surgery
Access to robotic theatre
Lack of anaesthetic staff
General anxiety about the impact of coronavirus on my life
Lack of COVID-19 free pathways
Communication with patients/family with full informed consent is difficult due to minimum face to face consultation preoperatively
Maintaining competency in robotic surgery and fear of complications
Cancellations of patients on the day due to unavailability of COVID-19 swab test
Keeping a regular schedule
Case selection for robotic surgery
Lack of management engagement
Lack of HDU/ITU facilities
Other (please specify)
5.
Thinking about decreased robotic practice arrangements currently in majority of hospitals, how long do you think one could comfortably maintain competencies? without need for retraining/ refresher training.
It’s not sustainable now
One month
2-3 months
6 months
1 year
It does not matter, robotic surgery is like riding a bike, I will pick up anytime
Other (please specify)
6.
How many robotic cases on a average you undertake per year?
1-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
>100
I am not a robotic surgeon
Other (please specify)
7.
Which Robotic system do you currently use for gynaecology
Intuitive surgical X
Intuitive surgical Xi
Intuitive surgical S
Versius
Medtronic
other
Other (please specify)
8.
How confident are you that offering robotic surgery to complex gynaecology patients during this pandemic is appropriate use of resources?, given that laparotomy has shown to increases mortality of patients if they turns out COVID positive.
Extremely confident
Very confident
Somewhat confident
Not so confident
Not confident at all
Other (please specify)
9.
Outside of work, do you think the right support network with help you through this period?
Yes, extremely important to have BIARGS society network support
BIARGS Society support will help me to some extent
I don't think BIARGS network support is needed
Not so sure
Not needed as will not influence my local situation
Other (please specify)
10.
What is your single greatest work-related concern right now? relating to robotic gynaecological surgery