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suck abstract from ncbi


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pmid33211422      Rev+Med+Liege 2020 ; 75 (S1): 48-54
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  • Depistage preoperatoire systematique du SARS-CoV-2 par scanner thoracique avant chirurgie urologique #MMPMID33211422
  • Degraeve A; Tilmans G; Piraprez M; Lejeune S; Nicolas H; Roumeguere T
  • Rev Med Liege 2020[Sup]; 75 (S1): 48-54 PMID33211422show ga
  • Due to COVID-19 outbreak, the Belgian Association of Urology recommended limiting non-emergency surgical care. The aim of this study was to analyze if a preoperative screening for COVID-19 was key to select optimal operative candidates and its impact on surgical outcomes. MATERIAL AND METHODS: we present a retrospective analysis of all consecutive patients who underwent oncological high-risk and emergency urological surgeries in a Belgium tertiary center from March 30 to April 30, 2020. The screening protocol was based on clinical assessment and chest-CT to identify COVID-19-positive patients. RESULTS: a total of 32 patients underwent elective oncologic (n = 17; 53 %) and emergency (n = 15; 47 %) operations. Screening by chest-CT revealed three cases of COVID-19 (9 %) having led to postpone two interventions. The third positive COVID-19 patient died of respiratory complications after bladder perforation urgent procedure. Two patients developed compatible post-operatively symptoms with one positive chest-CT but no positive RT-PCR and successful recovery. Adapted safety measures were followed to mitigate in-hospital transmission. CONCLUSION: this report suggests feasibility and efficacy of systematic, preoperative screening for COVID-19 by chest computed tomography only. This strategy could allow to perform the majority of scheduled high-risk oncologic interventions safely for both the patients and the surgical staff.
  • |*Coronavirus Infections[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral[MESH]
  • |*Tomography, X-Ray Computed[MESH]
  • |Belgium[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Humans[MESH]
  • |Retrospective Studies[MESH]


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