Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\32394175
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Surg+Endosc
2020 ; 34
(8
): 3292-3297
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
ELSA recommendations for minimally invasive surgery during a community spread
pandemic: a centered approach in Asia from widespread to recovery phases
#MMPMID32394175
Shabbir A
; Menon RK
; Somani J
; So JBY
; Ozman M
; Chiu PWY
; Lomanto D
Surg Endosc
2020[Aug]; 34
(8
): 3292-3297
PMID32394175
show ga
BACKGROUND: The COVID-19 pandemic has resulted in significant changes to surgical
practice across the worlds. Some countries are seeing a tailing down of cases,
while others are still having persistent and sustained community spread. These
evolving disease patterns call for a customized and dynamic approach to the
selection, screening, planning, and for the conduct of surgery for these
patients. METHODS: The current literature and various international society
guidelines were reviewed and a set of recommendations were drafted. These were
circulated to the Governors of the Endoscopic and Laparoscopic Surgeons of Asia
(ELSA) for expert comments and discussion. The results of these were compiled and
are presented in this paper. RESULTS: The recommendations include guidance for
selection and screening of patients in times of active community spread, limited
community spread, during times of sporadic cases or recovery and the transition
between phases. Personal protective equipment requirements are also reviewed for
each phase as minimum requirements. Capability management for the re-opening of
services is also discussed. The choice between open and laparoscopic surgery is
patient based, and the relative advantages of laparoscopic surgery with regard to
complications, and respiratory recovery after major surgery has to be weighed
against the lack of safety data for laparoscopic surgery in COVID-19 positive
patients. We provide recommendations on the operating room set up and conduct of
general surgery. If laparoscopic surgery is to be performed, we describe circuit
modifications to assist in reducing plume generation and aerosolization.
CONCLUSION: The COVID-19 pandemic requires every surgical unit to have clear
guidelines to ensure both patient and staff safety. These guidelines may assist
in providing guidance to units developing their own protocols. A judicious
approach must be adopted as surgical units look to re-open services as the
pandemic evolves.