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2020 ; 54
(2
): 117-131
Nephropedia Template TP
gab.com Text
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English Wikipedia
Endocrine Surgery during the COVID-19 Pandemic: Recommendations from the Turkish
Association of Endocrine Surgery
#MMPMID32617048
Aygun N
; Iscan Y
; Ozdemir M
; Soylu S
; Aydin OU
; Sormaz IC
; Dural AC
; Sahbaz NA
; Teksoz S
; Makay O
; Emre AU
; Haciyanli M
; Icoz RG
; Giles Y
; Isgor A
; Uludag M
; Tunca F
Sisli Etfal Hastan Tip Bul
2020[]; 54
(2
): 117-131
PMID32617048
show ga
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.