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2020 ; 126
(2
): 225-234
Nephropedia Template TP
gab.com Text
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English Wikipedia
Society of Robotic Surgery review: recommendations regarding the risk of COVID-19
transmission during minimally invasive surgery
#MMPMID32383520
Porter J
; Blau E
; Gharagozloo F
; Martino M
; Cerfolio R
; Duvvuri U
; Caceres A
; Badani K
; Bhayani S
; Collins J
; Coelho R
; Rocco B
; Wiklund P
; Nathan S
; Parra-Davila E
; Ortiz-Ortiz C
; Maes K
; Dasgupta P
; Patel V
BJU Int
2020[Aug]; 126
(2
): 225-234
PMID32383520
show ga
OBJECTIVES: To determine the risk of COVID-19 transmission during minimally
invasive surgical (MIS) procedures METHODS: Surgical society statements regarding
the risk of COVID transmission during MIS procedures were reviewed. In addition,
the available literature on COVID-19 and other viral transmission in CO2
pneumoperitoneum, as well as the presence of virus in the plume created by
electrocautery during MIS was reviewed. The society recommendations were compared
to the available literature on the topic to create our review and recommendations
to mitigate COVID-19 transmission. RESULTS: The recommendations promulgated by
various surgical societies evolved over time as more information became available
on COVID-19 transmission. Review of the available literature on the presence of
COVID-19 in CO2 pneumoperitoneum was inconclusive. There is no clear evidence of
the presence of COVID-19 in plume created by electrocautery. Technologies to
reduce CO2 pneumoperitoneum release into the operating room as well as filter
viral particles are available and should reduce the exposure risk to operating
room personnel. CONCLUSION: There is no clear evidence of COVID-19 virus in the
CO2 used during MIS procedures or in the plume created by electrocautery. Until
the presence or absence of COVID-19 viral particles has been clearly established,
measures to mitigate CO2 and surgical cautery plume release into the operating
room should be performed. Further study on the presence of COVID-19 in MIS
pneumoperitoneum and cautery plume is needed.