Elective hernia surgery cancellation due to the COVID-19 pandemic

Köckerling, F.; Kockerling, David; Schug-Paß, C.

doi:10.1007/s10029-020-02278-4

Cited by 19 publications

(18 citation statements)

References 5 publications

(7 reference statements)

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“…This snapshot study is limited as it was surgeon-reported and data were not recorded prospectively. However, these findings are concordant with data from the Herniamed registry 4 , which reported a significant reduction in registration of all forms of elective hernia repair during the COVID-19 pandemic compared with corresponding months in the previous calendar year. The authors conclude that COVID-19 has had a significant impact on the delivery of elective IHR, including volume of surgery, criteria for patient selection in the elective setting, and, to a lesser degree, operative technique and anaesthetic decisions.…”

supporting

confidence: 87%

International snapshot study exploring the impact of COVID-19 on elective inguinal hernia repair

Fleming¹,

Croghan²,

Elliot³

et al. 2021

British Journal of Surgery

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supporting

confidence: 87%

International snapshot study exploring the impact of COVID-19 on elective inguinal hernia repair

Fleming¹,

Croghan²,

Elliot³

et al. 2021

British Journal of Surgery

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“…Elective orthopaedic services in Hong Kong were reduced by 73.5% and approached the directed 80% decrease 23 . Similarly, Germany reported a 75% decrease in both elective and emergency hernia procedures in April 2020 compared to February to June 2019, 24 despite elective surgeries only being postponed between 12 March and 19 April 25 . The poorer Australian response in gynaecology cannot be attributed to the lower number of infectious cases in this country since in the initial stages, the transmissibility and mortality associated with the virus were as unknown here as they were internationally, and our data are a timely reminder as Europe is in the midst of its second wave of infections.…”

Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 97%

Gynaecological and IVF procedures billed through the Medicare Benefits Schedule (MBS) during the COVID‐19 pandemic

Alonso

Deans

Nesbitt‐Hawes

et al. 2021

Aust NZ J Obst Gynaeco

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Background In response to the COVID‐19 pandemic in Australia, restrictions to elective surgeries were implemented nationwide. Aims To investigate the response to these restrictions in elective gynaecological and In vitro fertilisation (IVF) procedures during the first wave of the COVID‐19 pandemic. Materials and Methods We analysed the Medicare Item Reports for the number of elective gynaecological (labioplasty, vulvoplasty; prolapse and continence; operative hysteroscopy; hysterectomy; fertility) and IVF procedures claimed in Australia between January–June 2020 and compared these to January–June 2019. Results The number of included gynaecological and IVF procedures performed in January–June 2020 decreased by −13.71% and −12.56%, respectively, compared to January–June 2019. The greatest reductions were in May 2020 (gynaecology −43.71%; IVF −51.63% compared to May 2019), while April 2020 reported decreases of −37.69% and −31.42% in gynaecological and IVF procedures, respectively. In April 2020, 1963 IVF cycle initiations (−45.20% compared to April 2019), 2453 oocyte retrievals (−26.99%) and 3136 embryo transfers (−22.95%) were billed. The procedures with greatest paired monthly decrease were prolapse and continence surgeries in April (676 procedures; −51.85%) and May 2020 (704 procedures; −60.05%), and oocyte retrievals in May 2020 (1637 procedures; −56.70%). Conclusions While we observed a decrease in procedural volumes, elective gynaecological and IVF procedures continued in considerable numbers during the restricted timeframes. In the event of future overwhelming biological threat, careful consideration must be given to more effective measures of limiting access for non‐emergency procedures to conserve essential resources and reduce risk to both the public and healthcare staff.

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“…It is important to remember that hernia surgery in most cases is a procedure that can be deferred [ 38 , 39 ]. According to the indications of the European Hernia Society, recommendations will vary between countries with different levels of outbreak, resource utilization for COVID patients, local testing capacities and availability of PPE [ 40 ].…”

Section: Methodsmentioning

confidence: 99%

Humanitarian Surgical Missions in Times of COVID‐19: Recommendations to Safely Return to a Sub‐Saharan Africa Low‐Resource Setting

et al. 2021

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Background Since the declaration of the pandemic, humanitarian medicine has been discontinued. Until now, there have been no general recommendations on how humanitarian surgical missions should be organized. Methods Based on our experience in the field of humanitarian surgical missions to Sub-Saharan Africa, a panel of recommendations in times of COVID-19 was developed. The fields under study were as follows: (1) Planning of a multidisciplinary project; (2) Organization of the infrastructure; (3) Screening, management and treatment of SARS-COV-2; (4) Diagnostic tests for SARS-COV-2; (5) Surgical priorization and (6) Context of patients during health-care assistance. We applied a risk bias measurement to obtain a consensus among humanitarian health-care providers with experience in this field. Results A total of 94.36% of agreement were reached for the approval of the recommendations. Emergency surgery must be a priority, and elective surgery adapted. For emergency surgery, we established a priority level 1a (< 24 h) and 1b (< 72 h). For an elective procedure, according our American College of Surgeon adaptation score, process with more than 60 points should be reconsidered. Due to the low life expectancy in many African countries, we consider 45–50 years as age of risk. In case of SARS-COV-2 active infection or high clinical suspicion, the screening, management and treatment should be following the international guidelines adapted to duration of the stay, available infrastructure, size of the cooperation team and medical resources. Conclusions Humanitarian surgical mission in times of COVID-19 is a challenge that must extrapolate the established recommendations to the local cooperation environment. Supplementary Information The online version contains supplementary material available at (10.1007/s00268-021-06001-x).

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Elective hernia surgery cancellation due to the COVID-19 pandemic

Cited by 19 publications

References 5 publications

International snapshot study exploring the impact of COVID-19 on elective inguinal hernia repair

International snapshot study exploring the impact of COVID-19 on elective inguinal hernia repair

Gynaecological and IVF procedures billed through the Medicare Benefits Schedule (MBS) during the COVID‐19 pandemic

Humanitarian Surgical Missions in Times of COVID‐19: Recommendations to Safely Return to a Sub‐Saharan Africa Low‐Resource Setting

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