Surgery in COVID-19 patients: operational directives

Coccolini, Federico; Perrone, Gennaro; Chiarugi, Massimo; Marzo, Francesco Di; Ansaloni, Luca; Scandroglio, Ildo; Marini, Pierluigi; Zago, Mauro; Paolis, Paolo De; Forfori, Francesco; Agresta, Ferdinando; Puzziello, Alessandro; D’Ugo, Domenico; Bignami, Elena; Bellini, Valentina; Vitali, Pietro; Petrini, Flavia; Pifferi, Barbara; Corradi, Francesco; Tarasconi, Antonio; Pattonieri, Vittoria; Bonati, Elena; Tritapepe, Luigi; Agnoletti, Vanni; Corbella, Davide; Sartelli, Massimo; Catena, Fausto

doi:10.1186/s13017-020-00307-2

Cited by 356 publications

(452 citation statements)

References 7 publications

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“…However, some patients still require spinal interventions. In such cases, many adaptations in the health care structures are necessary with specific isolated rooms and operative theaters for COVID+ patients and the need for perfect coordination between all healthcare professionals [6,7]. According to Zou et al [5], the first step of management is related to screening for COVID-19 symptoms and triage of the patients that would require a surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

Spine Surgical Procedures during Coronavirus Disease 2019 Pandemic: Is It Still Possible to Take Care of Patients? Results of an Observational Study in the First Month of Confinement

et al. 2020

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Study Design: Observational study.Purpose: The actual sanitary crisis led to a massive mobilization of the sanitary system toward intensive care units and management of coronavirus disease 2019 (COVID-19) patients. However, some patients still require spinal interventions. The present study aimed to assess the impact of the COVID-19 pandemic on spine surgical in a moderate COVID-19 cluster region.Overview of Literature: Previous studies have reported screening and management of patients with spinal conditions during the COVID-19 pandemic. However, to date, knowledge, no observational study on spine surgeries during the pandemic has not been reported.Methods: Between March 17, 2020 and April 17, 2020, information on spine surgical activity was prospectively collected at our institution. This surgical activity related to the first month of confinement in France was compared to the activity during the same period in 2019 to evaluate the impact of the COVID-19 pandemic on surgical activities.Results: In order to reduce the contamination rate of patients and medical staff during hospitalization, the spine department was completely reorganized. Non-urgent elective spine surgeries were cancelled. When considering the global amount of surgeries procedures during the first month of confinement, a decrease of almost 50% was observed in the number of surgical procedures. During the study period, 62 patients were eligible for spine surgery. The numbers of patients managed for tumor and infectious cases were stable, while a considerable reduction was observed in the number of trauma and degenerative cases. During the follow-up period, two patients were tested as COVID+ during the postoperative course, and no cases of medical or paramedical staff contamination were reported using polymerase chain reaction-testing.Conclusions: During the COVID-19 pandemic, it is possible to maintain spine surgical activity. Each surgical procedure must be discussed and organized with all the caregivers involved. Indications for surgery must be in line with the scientific guidelines and adapted to each healthcare facility.

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Section: Discussionmentioning

confidence: 99%

Spine Surgical Procedures during Coronavirus Disease 2019 Pandemic: Is It Still Possible to Take Care of Patients? Results of an Observational Study in the First Month of Confinement

et al. 2020

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“…Guidelines have been quickly introduced by most international surgical societies, to give the most consistent instructions while facing surgical cases in patients at-risk or frankly positive for COVID-19, particularly in an emergency setting. (1) We believe that this report might give important additional information on a topic that, to our knowledge, has not been covered yet: that of the potential infectiousness of peritoneal secretions.…”

Section: Introductionmentioning

confidence: 86%

COVID-19 in the peritoneal fluid: does this evidence oblige to introduce new rules? Presentation of a Case Report

Rimini

Atzori

Viotti

2020

Preprint

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Background : The Covid 19 pandemic introduced the need to outline new guidelines for the treatment of the Covid positive patient in surgery. With this report we present what we believe to be important additional information about an area that has not yet been studied, the potential infectivity of peritoneal secretions.Case presentation : A 73-year-old woman accesses our PS where she is found to be positive on the nosepharyngeal swab for Covid 19. The patient presents a picture of intestinal occlusion from imprisoned hernia, which is why she undergoes exploratory laparotomy surgery. During surgery a peritoneal swab is performed which is positive for Covid 19.Conclusion : This case suggests that, in the presence of patients susceptible to surgical therapy with negative Covid swab, performing a peritoneal swab may reveal a false negative. An extensive database that collects the results of pharyngeal and peritoneal swabs of patients undergoing surgery is necessary to delineate the appropriate approach to the patient in the Covid era.

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“…Well-trained operating room nurses and anesthesia should be in position for preoperative preparation. Personal protection equipment is recommended for all participating medical staff (3).…”

Section: Emergency Surgerymentioning

confidence: 99%

Suggestions on surgical treatment during coronavirus disease 2019 (COVID-19) pandemic

Zhao

Liu

2020

BST

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Surgery in COVID-19 patients: operational directives

Cited by 356 publications

References 7 publications

Spine Surgical Procedures during Coronavirus Disease 2019 Pandemic: Is It Still Possible to Take Care of Patients? Results of an Observational Study in the First Month of Confinement

Spine Surgical Procedures during Coronavirus Disease 2019 Pandemic: Is It Still Possible to Take Care of Patients? Results of an Observational Study in the First Month of Confinement

COVID-19 in the peritoneal fluid: does this evidence oblige to introduce new rules? Presentation of a Case Report

Suggestions on surgical treatment during coronavirus disease 2019 (COVID-19) pandemic

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