Impact of the Coronavirus (COVID-19) pandemic on surgical practice - Part 2 (surgical prioritisation)

Ahmed Al-Jabir, Ahmed Kerwan, Maria Nicola, Zaid Alsafi, Mehdi Khan, Catrin Sohrabi, Niamh O'Neill, Christos Iosifidis, Michelle Griffin, Ginimol Mathew, Riaz Agha, Ahmed Al-Jabir, Ahmed Kerwan, Maria Nicola, Zaid Alsafi, Mehdi Khan, Catrin Sohrabi, Niamh O'Neill, Christos Iosifidis, Michelle Griffin, Ginimol Mathew, Riaz Agha

Abstract

The Coronavirus (COVID-19) Pandemic represents a once in a century challenge to human healthcare with over 4.5 million cases and over 300,000 deaths thus far. Surgical practice has been significantly impacted with all specialties writing guidelines for how to manage during this crisis. All specialties have had to triage the urgency of their daily surgical procedures and consider non-surgical management options where possible. The Pandemic has had ramifications for ways of working, surgical techniques, open vs minimally invasive, theatre workflow, patient and staff safety, training and education. With guidelines specific to each specialty being implemented and followed, surgeons should be able to continue to provide safe and effective care to their patients during the COVID-19 pandemic. In this comprehensive and up to date review we assess changes to working practices through the lens of each surgical specialty.

Keywords: COVID-19; Novel coronavirus; Surgery.

Conflict of interest statement

Declaration of competing interest None.

Copyright © 2020 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

Figures

Fig. 1
Fig. 1
Algorithm for treatment of suspected COVID-19 in transplant recipients. Adapted from [36].
Fig. 2
Fig. 2
Management frameworks for cranial and spinal injury patients from NHS England [67].

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