To support the global restart of elective surgery, data from an international prospective cohort study of 8492 patients (69 countries) was analysed using artificial intelligence (machine learning techniques) to develop a predictive score for mortality in surgical patients with SARS-CoV-2. We found that patient rather than operation factors were the best predictors and used these to create the COVIDsurg Mortality Score (https://covidsurgrisk.app). Our data demonstrates that it is safe to restart a wide range of surgical services for selected patients.
HighlightsLeiomyomatosis peritonealis disseminata can result from laparoscopic myomectomies.Tumor morcellation should be probably reconsidered.In young women hormonal therapy is probably the best approach.Close follow-up is necessary due to the risk of malignant degeneration.
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