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  1. Article ; Online: Surgery at the time of COVID-19 pandemic: initial evidence of safe practice.

    Del Genio, G / Merlino, F / Tolone, S / Brusciano, L / Lucido, F S / Docimo, L / Gambardella, C

    The British journal of surgery

    2020  Volume 107, Issue 8, Page(s) e266

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/transmission ; Disease Transmission, Infectious/prevention & control ; Humans ; Pandemics ; Personal Protective Equipment/standards ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/transmission ; SARS-CoV-2 ; Safety ; Surgical Procedures, Operative/standards
    Keywords covid19
    Language English
    Publishing date 2020-06-03
    Publishing country England
    Document type Letter
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1002/bjs.11732
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  2. Article: Surgery at the time of COVID-19 pandemic: initial evidence of safe practice

    Del Genio, G / Merlino, F / Tolone, S / Brusciano, L / Lucido, F S / Docimo, L / Gambardella, C

    Br J Surg

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #505801
    Database COVID19

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  3. Article ; Online: Laparoscopic vs open surgery during the COVID-19 pandemic: what are the risks?

    Hadjittofi, C / Seraj, S S / Uddin, A / Ali, Z J / Antonas, P L / Fisher, R J / Parekh, K P / Lovett, B / Ahmad, A

    Annals of the Royal College of Surgeons of England

    2021  Volume 103, Issue 5, Page(s) 354–359

    Abstract: ... and open surgery, respectively. All-cause mortality was 5% (4/73), was related to COVID-19 ... Introduction: The initial intercollegiate surgical guidance from the UK during the COVID-19 ... in all cases, with no mortality after laparoscopic surgery. A total of 14 staff members developed COVID-19 ...

    Abstract Introduction: The initial intercollegiate surgical guidance from the UK during the COVID-19 pandemic resulted in significant changes to practice. Avoidance of laparoscopy was recommended, to reduce aerosol generation and risk of virus transmission. Evidence on the safety profile of laparoscopy during the pandemic is lacking. This study compares patient outcomes and risk to staff from laparoscopic and open gastrointestinal operations during the COVID-19 pandemic.
    Methods: Single-centre retrospective study of gastrointestinal operations performed during the peak of the COVID-19 pandemic. Demographic, comorbidity, perioperative and survival data were collected from electronic medical records and supplemented with patient symptoms reported at telephone follow up. Outcomes assessed were: patient mortality, illness among staff, patient COVID-19 rates, length of hospital stay and postdischarge symptomatology.
    Results: A total of 73 patients with median age of 56 years were included; 55 (75%) and 18 (25%) underwent laparoscopic and open surgery, respectively. All-cause mortality was 5% (4/73), was related to COVID-19 in all cases, with no mortality after laparoscopic surgery. A total of 14 staff members developed COVID-19 symptoms within 2 weeks, with no significant difference between laparoscopic and open surgery (10 vs 4;
    Conclusions: With appropriate protective measures, laparoscopic surgery is safe for patients and staff during the COVID-19 pandemic. The laparoscopic approach maintains an advantage of shorter length of hospital stay compared with open surgery.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19/epidemiology ; Cause of Death ; Child ; Conversion to Open Surgery/statistics & numerical data ; Digestive System Surgical Procedures/methods ; Elective Surgical Procedures ; Emergencies ; Female ; Gastrointestinal Diseases/surgery ; Health Personnel/statistics & numerical data ; Humans ; Infectious Disease Transmission, Patient-to-Professional/statistics & numerical data ; Laparoscopy/methods ; Laparotomy/methods ; Length of Stay ; Male ; Middle Aged ; Mortality ; Operative Time ; Postoperative Complications/epidemiology ; Retrospective Studies ; Risk ; SARS-CoV-2 ; Treatment Outcome ; United Kingdom ; Young Adult
    Language English
    Publishing date 2021-03-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2020.7067
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Endocrine Surgery during the COVID-19 Pandemic: Recommendations from the Turkish Association of Endocrine Surgery.

    Aygun, Nurcihan / Iscan, Yalin / Ozdemir, Murat / Soylu, Selen / Aydin, Oguz Ugur / Sormaz, Ismail Cem / Dural, Ahmet Cem / Sahbaz, Nuri Alper / Teksoz, Serkan / Makay, Ozer / Emre, Ali Ugur / Haciyanli, Mehmet / Icoz, Recep Gokhan / Giles, Yasemin / Isgor, Adnan / Uludag, Mehmet / Tunca, Fatih

    Sisli Etfal Hastanesi tip bulteni

    2020  Volume 54, Issue 2, Page(s) 117–131

    Abstract: ... been published on proper and safe surgery for both the healthcare providers and the patients after ... World Health Organization classified COVID-19 as a pandemic after its rapid spread worldwide in a few months ... the immediate onset of the COVID-19 pandemic. We should know that these guidelines and recommendations are not ...

    Abstract The 2019 novel coronavirus disease (COVID-19) was initially seen in Wuhan, China, in December 2019. World Health Organization classified COVID-19 as a pandemic after its rapid spread worldwide in a few months. With the pandemic, all elective surgeries and non-emergency procedures have been postponed in our country, as in others. Most of the endocrine operations can be postponed for a certain period. However, it must be kept in mind that these patients also need surgical treatment, and the delay time should not cause a negative effect on the surgical outcome or disease process. It has recently been suggested that elective surgical interventions can be described as medically necessary, time-sensitive (MeNTS) procedures. Some guidelines have been published on proper and safe surgery for both the healthcare providers and the patients after the immediate onset of the COVID-19 pandemic. We should know that these guidelines and recommendations are not meant to constitute a position statement, the standard of care, or evidence-based/best practice. However, these are mostly the opinions of a selected group of surgeons. Generally, only life-threatening emergency operations should be performed in the stage where the epidemic exceeds the capacity of the hospitals (first stage), cancer and transplantation surgery should be initiated when the outbreak begins to be controlled (second stage), and surgery for elective cases should be performed in a controlled manner with suppression of the outbreak (third stage). In this rapidly developing pandemic period, the plans and recommendations to be made on this subject are based on expert opinions by considering factors, such as the course and biology of the disease, rather than being evidence-based. In the recent reports of many endocrine surgery associations and in various reviews, it has been stated that most of the cases can be postponed to the third stage of the epidemic. We aimed to evaluate the risk reduction strategies and recommendations that can help plan the surgery, prepare for surgery, protect both patients and healthcare workers during the operation and care for the patients in the postoperative period in endocrine surgery.
    Keywords covid19
    Language English
    Publishing date 2020-06-16
    Publishing country Turkey
    Document type Journal Article ; Review
    ZDB-ID 3026862-X
    ISSN 1308-5123 ; 1302-7123
    ISSN (online) 1308-5123
    ISSN 1302-7123
    DOI 10.14744/SEMB.2020.65902
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Surgery at the time of COVID-19 pandemic

    del Genio, G. / Merlino, F. / Tolone, S. / Brusciano, L. / Lucido, F. S. / Docimo, L. / Gambardella, C.

    initial evidence of safe practice

    2020  

    Keywords Coronavirus Infections ; Disease Transmission ; Infectious ; Humans ; Personal Protective Equipment ; Pneumonia ; Viral ; Safety ; Surgical Procedures ; Operative ; Betacoronavirus ; Pandemics ; covid19
    Language English
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Surgery at the time of COVID-19 pandemic

    del Genio, G. / Merlino, F. / Tolone, S. / Brusciano, L. / Lucido, F. S. / Docimo, L. / Gambardella, C.

    British Journal of Surgery

    initial evidence of safe practice ; Surgical safe practice during COVID-19 pandemic

    2020  Volume 107, Issue 8, Page(s) e266–e266

    Keywords Surgery ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2985-3
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1002/bjs.11732
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.66: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  7. Article: Endocrine Surgery during the COVID-19 Pandemic: Recommendations from the Turkish Association of Endocrine Surgery

    Aygun, Nurcihan / Iscan, Yalin / Ozdemir, Murat / Soylu, Selen / Aydin, Oguz Ugur / Sormaz, Ismail Cem / Dural, Ahmet Cem / Sahbaz, Nuri Alper / Teksoz, Serkan / Makay, Ozer / Emre, Ali Ugur / Haciyanli, Mehmet / Icoz, Recep Gokhan / Giles, Yasemin / Isgor, Adnan / Uludag, Mehmet / Tunca, Fatih

    Sisli Etfal Hastanesi tip bulteni

    Abstract: ... been published on proper and safe surgery for both the healthcare providers and the patients after ... World Health Organization classified COVID-19 as a pandemic after its rapid spread worldwide in a few months ... the immediate onset of the COVID-19 pandemic We should know that these guidelines and recommendations are not ...

    Abstract The 2019 novel coronavirus disease (COVID-19) was initially seen in Wuhan, China, in December 2019 World Health Organization classified COVID-19 as a pandemic after its rapid spread worldwide in a few months With the pandemic, all elective surgeries and non-emergency procedures have been postponed in our country, as in others Most of the endocrine operations can be postponed for a certain period However, it must be kept in mind that these patients also need surgical treatment, and the delay time should not cause a negative effect on the surgical outcome or disease process It has recently been suggested that elective surgical interventions can be described as medically necessary, time-sensitive (MeNTS) procedures Some guidelines have been published on proper and safe surgery for both the healthcare providers and the patients after the immediate onset of the COVID-19 pandemic We should know that these guidelines and recommendations are not meant to constitute a position statement, the standard of care, or evidence-based/best practice However, these are mostly the opinions of a selected group of surgeons Generally, only life-threatening emergency operations should be performed in the stage where the epidemic exceeds the capacity of the hospitals (first stage), cancer and transplantation surgery should be initiated when the outbreak begins to be controlled (second stage), and surgery for elective cases should be performed in a controlled manner with suppression of the outbreak (third stage) In this rapidly developing pandemic period, the plans and recommendations to be made on this subject are based on expert opinions by considering factors, such as the course and biology of the disease, rather than being evidence-based In the recent reports of many endocrine surgery associations and in various reviews, it has been stated that most of the cases can be postponed to the third stage of the epidemic We aimed to evaluate the risk reduction strategies and recommendations that can help plan the surgery, prepare for surgery, protect both patients and healthcare workers during the operation and care for the patients in the postoperative period in endocrine surgery
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #630423
    Database COVID19

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  8. Article: Reintroducing Flap Reconstruction: One Institution's Safe Return to Flap Surgery during the COVID-19 Pandemic

    Chen, Jonlin / Chow, Amanda / Lee, Erica / Wesson, Tristan / Karius, Alexander / Wallam, Sara / Generoso, Matthew / Fadavi, Darya / He, Waverley / Yesantharao, Pooja / Long, Chao / Cooney, Carisa M. / Broderick, Kristen P.

    Journal of Reconstructive Microsurgery

    2022  Volume 39, Issue 01, Page(s) 59–69

    Abstract: ... infection. Five (2%) patients eventually tested COVID-19 positive (median time from surgery to diagnosis: 9 ... Background: Prevention of nosocomial coronavirus disease 2019 (COVID-19) infection for patients ... the postoperative incidence of COVID-19 among patients undergoing flap reconstruction from December 1, 2019 ...

    Abstract Background: Prevention of nosocomial coronavirus disease 2019 (COVID-19) infection for patients undergoing flap-based reconstructive surgery is crucial to providing care and maintaining operative volume and income to support plastic surgery programs. We conducted this study to (1) determine the postoperative incidence of COVID-19 among patients undergoing flap reconstruction from December 1, 2019 to November 1, 2020 and (2) compare 30-day outcomes between patients who underwent surgery before and during the early pandemic.
    Methods: We conducted an 11-month retrospective cohort study of all patients who underwent flap reconstruction across our institution. We abstracted patient demographics, intraoperative management, COVID-19 testing history, and 30-day postoperative complications from electronic health records. Nosocomial COVID-19 infection was defined as reverse transcription polymerase chain reaction (RT-PCR) viral ribonucleic acid detection within 30 days of patients' postoperative course or during initial surgical admission. We used chi-squared tests to compare postoperative outcomes between patients who underwent surgery before (prior to March 12, 2021, when our institution admitted its first COVID-19 patient) versus during (on/after March 12, 2021) the pandemic.
    Results: Among the 220 patients (mean [standard deviation] age = 53.8 [18.1] years; female = 54.8%) who underwent flap reconstruction, none had nosocomial COVID-19 infection. Five (2%) patients eventually tested COVID-19 positive (median time from surgery to diagnosis: 9 months, range: 1.5–11 months) with one developing partial flap loss while infected. Between patients who underwent free flap surgery before and during the pandemic, there were no significant differences in 30-day takebacks (15.6% vs. 16.6%, respectively; p  > 0.999), readmissions (9.4% vs. 12.6%, respectively; p  = 0.53), and surgical complications (e.g., total flap loss 1.6% vs. 2.1%, p  = 0.81).
    Conclusion: Robust precautions can ensure the safety of patients undergoing flap surgeries across an academic medical institution, even during periods of high COVID-19 admission rates. Further studies are needed to generate evidence-based guidelines that optimize infection control and flap survival for patients undergoing reconstruction.
    Keywords COVID-19 ; clinical practice guidelines ; pandemic ; reconstructive surgery ; flap reconstruction
    Language English
    Publishing date 2022-07-07
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 605983-1
    ISSN 1098-8947 ; 0743-684X ; 0743-684X
    ISSN (online) 1098-8947 ; 0743-684X
    ISSN 0743-684X
    DOI 10.1055/s-0042-1749677
    Database Thieme publisher's database

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