Elective Gastrointestinal Surgery in COVID Times

Kapoor, Deeksha; Perwaiz, Azhar; Singh, Amanjeet; Chaudhary, Adarsh

doi:10.1007/s12262-020-02642-9

Cited by 9 publications

(20 citation statements)

References 18 publications

(10 reference statements)

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“…Significantly fewer surgeries were being performed during the pandemic, with a higher proportion of cancer surgeries than the previous year (44.9% vs. 23.5%, p < 0.001). However, no significant difference in the incidence of major complications and 30-day mortality were observed in the two time periods [14].…”

Section: Elective Surgery For Gastrointestinal Cancermentioning

confidence: 79%

“…The surgeries for bowel obstruction and ventral hernia increased, while that for acute cholecystitis decreased during the pandemic period. An Indian study by Kapoor et al reported that only 314 gastrointestinal surgeries were performed from March to July 2020 compared to 914 surgeries during the same time in the previous year [14].…”

Section: Impact Of Covid-19 Pandemic On Gastrointestinal Surgical Servicesmentioning

confidence: 99%

“…Kapoor et al reported the outcomes of 314 gastrointestinal surgeries performed during the COVID-19 pandemic (March to July 2020) [14]. Among these, 144 operations were performed for various gastrointestinal cancers.…”

Section: Elective Surgery For Gastrointestinal Cancermentioning

confidence: 99%

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Impact of COVID-19 on the outcomes of gastrointestinal surgery

Gupta

Ammar

2021

Clin J Gastroenterol

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COVID-19 pandemic has brought a paradigm shift in the treatment of various surgical gastrointestinal disorders. Given the increasing number of patients requiring hospitalization and intensive care for SARS-CoV-2 infections, various surgical departments worldwide were forced to stop or postpone elective surgeries to save the health resources for COVID-19 patients. Since the declaration of the COVID-19 pandemic by the World Health Organization on 12th March 2020, the recommendations from the surgical societies kept evolving to help the surgeons in making informed decisions regarding patient care. Moreover, various socio-economic and epidemiological factors have come into play while deciding the optimal approach towards patients requiring gastrointestinal surgery. Surgeries for many abdominal diseases such as acute appendicitis and acute calculous cholecystitis were postponed. Elective surgeries were triaged based on the urgency of performing the surgical procedure, the hospital burden of COVID-19 patients, and the availability of healthcare resources. Various measures were adopted such as preoperative screening for SARS-CoV-2 infection, use of personal protective equipment, and the COVID-19-free surgical pathway to prevent perioperative SARS-CoV-2 transmission. In this article, we have reviewed the recent studies reporting the outcomes of various gastrointestinal surgeries in the COVID-19 pandemic era and the recommendations from various surgical societies on the safety precautions to be followed during gastrointestinal surgery.

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Section: Elective Surgery For Gastrointestinal Cancermentioning

confidence: 79%

Section: Impact Of Covid-19 Pandemic On Gastrointestinal Surgical Servicesmentioning

confidence: 99%

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Impact of COVID-19 on the outcomes of gastrointestinal surgery

Gupta

Ammar

2021

Clin J Gastroenterol

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“…Twelve studies were reviewed for elective surgery outcomes during the COVID-19 pandemic ( Table 2 ) [ 16 17 19 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 ]. All of these reports presented postoperative morbidity and mortality data that were comparable to the pre-pandemic era.…”

Section: Resultsmentioning

confidence: 99%

Surgical safety in the COVID-19 era: present and future considerations

Kim

Park

2022

Ann Surg Treat Res

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The impacts of coronavirus disease 2019 (COVID-19) have been globally paradigm shifting in all aspects. Surgeons have experienced unprecedented changes regarding operation schedules, preparations before surgery, and the precautions needed both during and after surgery. Many medical centers simultaneously reported a decrease in their numbers of surgeries, whether they were elective or emergent, or for cancerous or benign resections. However, accumulated surgical outcomes from the last 2 years of experience presented postoperative morbidity and mortality data that were comparable to the pre-pandemic era, whether in elective or urgent settings. Although COVID-19 showed a significant association with postoperative morbidity and mortality, the majority of noninfected patients could be treated successfully with stringent mitigation protocols. Initially recommended to be avoided at the start of the pandemic, minimally invasive surgery seems to be safe and feasible according to reported surgical outcomes. Numerous sets of guidelines have now been produced from medical societies and adhering to the basic precautions has been found to be practicable. It is crucial that health care systems and surgical staff remain vigilant and attentive to the ever-changing situation in this pandemic in order to provide optimal medical support to their patients.

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“…There are other studies which use only the heat and moisture exchanger (HME/HMEF) filter in the circuit. [24][25][26] This has been filtering HBV (42 nm) and HCV (30 to 60 nm) with an efficacy of 99.9%. SARS-CoV-2 has a larger diameter of 70 to 90 nm, so we expect a similar or better filtration efficacy.…”

Section: Discussionmentioning

confidence: 99%

Safe laparoscopy during COVID-19 pandemic by SARS-CoV-2: bio innovation of the closed-circuit system

2021

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Background: Severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) transmission during laparoscopy while using energy devices through the carbon dioxide pneumoperitoneum is a big concern in operation theatre. So, we had to alter the way we vent carbon dioxide through a closed-circuit system (CCS) to avoid contamination.Methods: We did a prospective study in the safety of the CCS during elective laparoscopic surgeries. We had recruited 184 patients from a single unit in three quarters. The first quarter had 52 patients where the SARS-CoV-2 status was unknown as rapid antigen test (RAT) and reverse transcription polymerase chain reaction (RT- PCR) was not done as per government guidelines. So, we presumed all patients to be potential carriers. Later in the 2nd and 3rd quarter we had recruited 132 patients; all were tested by RAT/RT-PCR and positive patients were excluded from our study. Postoperatively we observed for COVID-19 symptoms in our health care workers (HCW) and confirmed by RT-PCR.Results: Of the total 184 laparoscopic surgeries performed during this period, only 2 (1.09%) patients developed COVID-19 symptoms and this was in the 1st quarter when routine testing by RT-PCR was not done. None (100%) of our HCW developed symptoms of COVID-19.Conclusions: Closed circuit system is an innovative and safe technique during laparoscopy. We strongly recommend RT-PCR for COVID-19 before elective surgery.

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Elective Gastrointestinal Surgery in COVID Times

Cited by 9 publications

References 18 publications

Impact of COVID-19 on the outcomes of gastrointestinal surgery

Impact of COVID-19 on the outcomes of gastrointestinal surgery

Surgical safety in the COVID-19 era: present and future considerations

Safe laparoscopy during COVID-19 pandemic by SARS-CoV-2: bio innovation of the closed-circuit system

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