Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons

Balibrea, José M.; Badia, Josep M.; Pérez, Inés Rubio; Antona, Esteban Martín; Peña, Estíbaliz Álvarez; Botella, Sandra García; Gallego, Mario Álvarez; Pérez, Elena Martín; Cortijo, Sagrario Martínez; Migueláñez, Isabel Pascual; Díaz, Lola Pérez; Rodríguez, José Luis Ramos; Basany, Eloy Espín; Santos, Raquel Sánchez; Aledo, Victoriano Soria; Barrachina, Ruth López; Morales‐Conde, Salvador

doi:10.1016/j.cireng.2020.04.003

Cited by 44 publications

(47 citation statements)

References 19 publications

(21 reference statements)

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“…Many articles have tried to categorize various conditions according to urgency, [37,38] as well as guidelines put forth by international societies [45][46][47].…”

Section: What Should Be Offered To Patients As An Alternativementioning

confidence: 99%

COVID-19. An update for orthopedic surgeons

Abdelnasser

Morsy

Osman

et al. 2020

SICOT-J

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The COVID-19 pandemic has affected our world in a short period of time, and the orthopedic surgery practice was not an exclusion. Elective care was deferred in most health care facilities and emergency care was continued with strict precautions. With rapid progression of the pandemic, the response of the medical community is also rapidly changing in all aspects of delivering care. This led to a large number of publications with reports, guidelines, measures, ways to react to the crisis, and post-pandemic predictions and speculations. In this review we aimed at summarizing all the relevant information to the orthopedic surgery community. To do this, a comprehensive search was performed with all related terms on two scientific search engines, PubMed and SCOPUS, and the results were filtered by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method. The result was 72 articles that were further reduced to 33 articles after full text reading. The resultant information was organized under 5 main headings; the impact of pandemic on the orthopedic practice, COVID-19 and the trauma patient, elective and emergency surgeries during the pandemic, peri-operative management of the patient with COVID-19, Miscellaneous effects of the pandemic such as those on training programs and the evolution of telemedicine. This review represents the most up to date information published in the literature that is a must-know to every orthopedic surgeon.

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“…Many articles have tried to categorize various conditions according to urgency, [37,38] as well as guidelines put forth by international societies [45][46][47].…”

Section: What Should Be Offered To Patients As An Alternativementioning

confidence: 99%

COVID-19. An update for orthopedic surgeons

Abdelnasser

Morsy

Osman

et al. 2020

SICOT-J

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“…Numerous patients with confirmed or suspected COVID-19 will require urgent surgical treatment (11). All postponable procedures must be rescheduled in order to reduce the exposure of the surgical team and the patient to potential contamination (4).…”

Section: Indications and Prioritization Of Surgeriesmentioning

confidence: 99%

“…Some actions must be taken in order to reduce the spread of the disease during surgery, such as: using as much disposable material as possible, keeping the operating room doors closed, except for the circulation of employees, patients and instruments. Never handle instruments without gloves, avoid using cutting materials when possible (11). To define the indications for endourological procedures, it is necessary to proceed with the same care.…”

Section: Indications and Prioritization Of Surgeriesmentioning

confidence: 99%

Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era

Socarrás¹,

Esperto

Bapstistussi³

et al. 2020

Int. braz j urol.

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Purpose: To provide recommendations on the endourological management of lithiasis in the scenario of the COVID-19 pandemic. Materials and Methods: A non-systematic review in PubMed and the grey literature, as well as recommendations by a panel of stakeholders was made, regarding management, surgical considerations and follow-up of patients affected by lithiasis in the COVID-19 era. Results: Under the current outbreak and COVID-19 pandemic scenario, patients affected by lithiasis should be prioritized into low, intermediate and high risk categories, to decide their delay and save resources, healthcare personnel, beds and ventilators. However, patients with potentially serious septic complications need emergency interventions. The possibility of performing or restarting elective activity depends on local conditions, the availability of beds and ventilators, and the implementation of screening protocols in the context of the COVID-19 pandemic. Delaying lithiasis surgery and increasing waiting lists will have consequences and will require considerable additional effort. Teleconsultation may be useful in guiding these patients, reducing visits and unnecessary exposure. Conclusions: categorization and prioritization of patients affected by lithiasis is crucial for management, surgical selection and follow-up. Protocols, measures and additional efforts should be carried out in the current situation of the COVID-19 pandemic.

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“…The management of acute surgical emergencies has changed dramatically as emerging data demonstrated the serious ramifications of COVID‐19 in respect of postoperative recovery 1 . Concerns regarding clinician exposure during gastrointestinal procedures have resulted in an increase in the complexity, duration of decontamination procedures required and perioperative stress 2,3 .…”

Section: Diagnosis All Patients (N = 332) Intervention*/conservative mentioning

confidence: 99%

Impact of the COVID-19 pandemic on acute adult surgical admissions- a single centre experience

Chung

Winyard

Layton

et al. 2020

British Journal of Surgery

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Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons

Cited by 44 publications

References 19 publications

COVID-19. An update for orthopedic surgeons

COVID-19. An update for orthopedic surgeons

Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era

Impact of the COVID-19 pandemic on acute adult surgical admissions- a single centre experience

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