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General recommendations to the colorectal surgeon during the COVID-19 pandemic
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; Fillmann HS
ä-/-ä 2020[Jul]; 40
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): 192-5
PMIDC7303650
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The COVID-19 pandemic has shown our country in an unfavorable light, as Brazil
has reported the second highest number of deaths to date. When the social
isolation phase is finished, professional activities (including the medical ones)
will resume their routines and the specialist must be updated in order to provide
effective and safe care. Although many published recommendations are based on low
levels of evidence, disclosing them has become necessary, since the coronavirus
infection may affect operative outcomes. Overall, it is suggested that physicians
adopt preventive measures, starting with the medical appointment, and extending
them to the surgical procedure. Furthermore, it is also necessary to
provisionally change criteria for operative indications and conducts. Currently,
postponing elective surgeries seems to be a universally agreed decision.
Moreover, we need to establish the early diagnosis of the viral infection, before
or after the surgery. Several safety measures related to minimally-invasive
procedures have been reported, disclosing the risks of aerosol dissemination by
the pneumoperitoneum and smoke from energy-powered devices. The present article
aimed to bring to the colorectal surgeon the current recommendations and general
safety measures in order to prevent infection dissemination, to improve surgical
planning in terms of timing and specific technical aspects.