Recommendations for Surgery During the Novel Coronavirus (COVID-19) Epidemic

Zheng Liu, Yawei Zhang, Xishan Wang, Daming Zhang, Dechang Diao, K Chandramohan, Christopher M Booth, Zheng Liu, Yawei Zhang, Xishan Wang, Daming Zhang, Dechang Diao, K Chandramohan, Christopher M Booth

Abstract

The whole world is going through an unprecedented period during the pandemic of COVID-19. This pandemic has affected all aspects of daily life with far-reaching implications, especially in most aspects of healthcare. Practice of surgery across the globe is in a standstill as of now. When we restart surgical practices across world, we have to bring new protocols and practices in place to combat the transmission. This article discusses the major changes in surgical practice, which need to be brought in. This article is based on scientific information about transmission of virus and experiences of some of the authors from China, a country which successfully dealt with and contained the virus outbreak.

Keywords: COVID 19; Coronavirus; Practice of surgery.

Conflict of interest statement

Conflict of InterestThe authors declare that they have no conflict of interest.

© Association of Surgeons of India 2020.

References

    1. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497–506. doi: 10.1016/S0140-6736(20)30183-5.
    1. World Health Organization. Coronavirus disease 2019 (COVID-19) Situation Report.
    1. Hellewell J, Abbott S, Gimma A et al (2020) Feasibility of controlling COVID-19 outbreaks by isolation of cases and contacts. Lancet Glob Health. 10.1016/S2214-109X(20)30074
    1. Huh S. How to train the health personnel for protecting themselves from novel coronavirus (COVID-19) infection during their patient or suspected case care. J Educ Eval Health Prof. 2020;17:10. doi: 10.3352/jeehp.2020.17.10.
    1. Novel Coronavirus Pneumonia Emergency Response Epidemiology Team The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. Zhonghua Liu Xing Bing Xue Za Zhi. 2020;41(2):145–151.
    1. Livingston E, Bucher K (2020) Coronavirus disease 2019 (COVID-19) in Italy. JAMA. 10.1001/jama.2020.4344
    1. National Health Commission of the People’s Republic of China. Joint prevention and control mechanism of the state council. , 2020 Mar 20
    1. Centers for Disease Control and Prevention. Resources for clinics and healthcare facilities 16 March 2020
    1. National Clinical Programme in Surgery. Information for surgeons regarding OPD triage during COVID-19 epidemic. 19 March 2020
    1. Centers for Disease Control and Prevention. Interim guidance for healthcare facilities: preparing for community transmission of COVID-19 in the United States. 19 February 2020
    1. Centers for Disease Control and Prevention. Interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease 2019 (COVID-19) in healthcare settings. 19 March 2020
    1. Wang C, Liu L, Hao X, Guo H, Wang Q, Huang J, He N, Yu H, Lin X, Pan A, Wei S, Wu T (2020) Evolving epidemiology and impact of non-pharmaceutical interventions on the outbreak of coronavirus disease 2019 in Wuhan, China. medRxiv:20030593. 10.1101/2020.03.03.20030593
    1. Zou L, Ruan F, Huang M, Liang L, Huang H, Hong Z, Yu J, Kang M, Song Y, Xia J, Guo Q, Song T, He J, Yen HL, Peiris M, Wu J. SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med. 2020;382(12):1177–1179. doi: 10.1056/NEJMc2001737.
    1. National Health Commission of the People’s Republic of China. New coronavirus pneumonia diagnosis and treatment program 2020 March 4
    1. Liang W, Guan W, Chen R, Wang W, Li J, Xu K, Li C, Ai Q, Lu W, Liang H, Li S, He J. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol. 2020;21(3):335–337. doi: 10.1016/S1470-2045(20)30096-6.
    1. American College of Surgeons. COVID-19: guidance for triage of non-emergent surgical procedures. 24 March 2020
    1. Xiao Y, Torok ME (2020. S1473–3099(20)30152–3) Taking the right measures to control COVID-19. Lancet Infect Dis. 10.1016/S1473-3099(20)30152-3
    1. World Health Organization. Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected. 2020 Jan 25
    1. National Clinical Programme in Surgery. Intraoperative recommendations when operating on suspected COVID infected patients. March 2020
    1. Government of India.
    1. Johnson G K, Robinson W S. Human immunodeficiency virus-1 (HIV-1) in the vapors of surgical power instruments, 1991, 33: 47–50
    1. Gloster HM, Roenigk RK. Risk of acquiring human papillomavirus from the plume produced by the carbon dioxide laser in the treatment of warts. J Am Acad Dermatol. 1995;32:436–441. doi: 10.1016/0190-9622(95)90065-9.
    1. Tao KX, Zhang BX, Zhang P, Zhu P, Wang GB, Chen XP, General Surgery Branch of Hubei Medical Association, General Surgery Branch of Wuhan Medical Association Recommendations for general surgery clinical practice in 2019 coronavirus disease situation. Zhonghua Wai Ke Za Zhi. 2020;58(3):170–177.

Source: PubMed

Sponsorer og samarbeidspartnere

Medisinsk tilstand

Legemiddelintervensjoner

3
Abonnere