Short esophagus can be suspected during preoperative studies, and in this series, it was confirmed in 6.4% of the patients who had surgery. A Collis fundoplication procedure seems to be an adequate operation to control reflux symptoms and to avoid reherniation over the long-term follow-up period.
Background: Safety in the care of patients is a priority in the design of any health system, having direct implications on the quality of care. Assessment of nurses in hospital rooms allows to detect diffi culties or problems in preoperative which can endanger the patient's life or the expected result of the surgery. Is there where you must generate protocols that ensure safety for patients, decreasing the maximum errors and comply with the premise made by WHO in 2008: "Safe surgery saves lives".
Background: COVID-19 pandemic may affect the surgical teams and patients. Objective: The aim of this report was to describe the changes introduced in the structure and processes of a surgical facility for the safe care of suspected and positive COVID-19 patients, and to describe the initial results of their implementation. Material and methods: We conducted a prospective, descriptive and observational study between April 1 and May 31, 2020. The structural changes and the modifications introduced in the functioning processes within the surgical area of a university hospital adapted to the care of suspected and positive COVID-19 patients, and the activities developed in such area were documented. Results: There was a reduction in the number of scheduled and emergency surgeries performed during the study period. Of the 173 emergency surgeries, 17 (9.8%) were suspected cases and 3 (1.7%) resulted positive COVID-19 patients confirmed by PCR tests. None of the 136 patients undergoing scheduled surgeries were suspected or confirmed cases. Compliance with the checklist was 100%. There were no infections among the personnel working in the facility. Conclusions: The changes implemented in the surgical facility allowed for adequate care of suspected and confirmed COVID-19 patients during the period, with complete adherence to recommendations and reduced risk of disease transmission in order to provide safety to patients and the health care team. Palabras clave: COVID-19, cirugía segura, área quirúrgica. Keywords: COVID-19, safe surgery, operating room.
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