Is the grass really greener on the other side? – The COVID-free ‘green zones’ in the COVID-19 era

Byrne, Hannah; Rao, Milind

doi:10.1002/bjs.11840

Cited by 4 publications

(2 citation statements)

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“…Simultaneous delivery of elective surgery while minimizing nosocomial COVID-19 infection in the perioperative phase It is not sustainable to suspend elective surgery indefinitely, and there has been a growing focus on new models for delivering elective surgery that might allow surgery to be restarted safely, even during pandemic waves, in a way that is acceptable to patients 11,[41][42][43][44][45][46] . Evaluation of the early implementation of COVID-free surgical pathways for elective cancer surgery found that they substantially reduced the risk of nosocomial SARS-CoV-2 transmission, postoperative pulmonary complications, and death, compared with that in patients operated in hospitals that had not implemented such pathways during pandemic waves 47 .…”

Section: Solutions Suggested By Commission Contributorsmentioning

confidence: 99%

BJS commission on surgery and perioperative care post-COVID-19

Stijns

2021

British Journal of Surgery

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Background Coronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO on 11 March 2020 and global surgical practice was compromised. This Commission aimed to document and reflect on the changes seen in the surgical environment during the pandemic, by reviewing colleagues’ experiences and published evidence. Methods In late 2020, BJS contacted colleagues across the global surgical community and asked them to describe how severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had affected their practice. In addition to this, the Commission undertook a literature review on the impact of COVID-19 on surgery and perioperative care. A thematic analysis was performed to identify the issues most frequently encountered by the correspondents, as well as the solutions and ideas suggested to address them. Results BJS received communications for this Commission from leading clinicians and academics across a variety of surgical specialties in every inhabited continent. The responses from all over the world provided insights into multiple facets of surgical practice from a governmental level to individual clinical practice and training. Conclusion The COVID-19 pandemic has uncovered a variety of problems in healthcare systems, including negative impacts on surgical practice. Global surgical multidisciplinary teams are working collaboratively to address research questions about the future of surgery in the post-COVID-19 era. The COVID-19 pandemic is severely damaging surgical training. The establishment of a multidisciplinary ethics committee should be encouraged at all surgical oncology centres. Innovative leadership and collaboration is vital in the post-COVID-19 era. Members of the BJS Commission Team are co-authors of this study and are listed under the heading Collaborators.

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Section: Solutions Suggested By Commission Contributorsmentioning

confidence: 99%

BJS commission on surgery and perioperative care post-COVID-19

Stijns

2021

British Journal of Surgery

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“…To maximise our surgical delivery whilst protecting patients and staff from COVID-19 transmission, self-contained surgical zones were created to ensure elective surgical services could be maintained throughout the pandemic. There is however a paucity of large volume evidence supporting the implementation of these zones in acute hospitals providing broad speciality surgical care [ 11 , 23 , 24 ]. We hypothesised that development of such units would provide a safe and deliverable service with good outcomes during the peak of a pandemic.…”

Section: Introductionmentioning

confidence: 99%

Safety of maintaining elective and emergency surgery during the COVID-19 pandemic with the introduction of a Protected Elective Surgical Unit (PESU): A cross-specialty evaluation of 30-day outcomes in 9,925 patients undergoing surgery in a University Health Board

Minto

Abdelrahman²,

Jones³

et al. 2022

Surgery Open Science

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COVID-19 in Women's health reducing the risk of infection to patients and staff during acute and elective hospital admission for gynaecological surgery

Odejinmi

Egbase

Clark

et al. 2021

Best Practice & Research Clinical Obstetrics & Gynaecol

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The novel coronavirus SARS-Cov-2 has changed healthcare on a worldwide scale. This highly contagious respiratory virus has overwhelmed healthcare systems. Many staff were redeployed and there was widespread cessation of non-urgent outpatient clinics and surgery. Outpatient clinics and theatre areas were converted to COVID wards and intensive care units. Following the first peak services began to recommence with new triaging and prioritisation guidance to safeguard patients and staff. Different countries and healthcare systems produced differing guidance and in particular, variation in the best approach to continuing acute and elective surgical procedures. This chapter collates and evaluates the increasing international literature concerning the surgical management of gynaecological conditions during the pandemic, such that clear inferences, recommendations and guidance can be generated to aid clinical practice and safeguard against further major disruption arising from further COVID-peaks. The available data are assessed within the context of the current phase of the COVID-19 pandemic.

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Is the grass really greener on the other side? – The COVID-free ‘green zones’ in the COVID-19 era

Cited by 4 publications

References 1 publication

BJS commission on surgery and perioperative care post-COVID-19

BJS commission on surgery and perioperative care post-COVID-19

Safety of maintaining elective and emergency surgery during the COVID-19 pandemic with the introduction of a Protected Elective Surgical Unit (PESU): A cross-specialty evaluation of 30-day outcomes in 9,925 patients undergoing surgery in a University Health Board

COVID-19 in Women's health reducing the risk of infection to patients and staff during acute and elective hospital admission for gynaecological surgery

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