| Autor: |
Pelizzo G; Department of Pediatric Surgery, 'V. Buzzi' Children's Hospital, University of Milan, 20157 Milan, Italy.; Department of Biomedical and Clinical Sciences 'L. Sacco', University of Milan, 20157 Milano, Italy., Costanzo S; Department of Pediatric Surgery, 'V. Buzzi' Children's Hospital, University of Milan, 20157 Milan, Italy., Maestri L; Department of Pediatric Surgery, 'V. Buzzi' Children's Hospital, University of Milan, 20157 Milan, Italy., Selvaggio GGO; Department of Pediatric Surgery, 'V. Buzzi' Children's Hospital, University of Milan, 20157 Milan, Italy., Pansini A; Department of Pediatric Surgery, 'V. Buzzi' Children's Hospital, University of Milan, 20157 Milan, Italy., Zuccotti GV; Department of Biomedical and Clinical Sciences 'L. Sacco', University of Milan, 20157 Milano, Italy.; Department of Pediatrics, 'V. Buzzi' Children's Hospital, University of Milan, 20157 Milan, Italy., Zoia E; Department of Pediatrics, Anesthesiology and Intensive Care Unit, 'V. Buzzi' Children's Hospital, University of Milan, 20157 Milan, Italy., De Filippis G; 'V. Buzzi' Children's Hospital, ASST Fatebenefratelli Sacco, 20157 Milan, Italy., Visconti A; 'V. Buzzi' Children's Hospital, ASST Fatebenefratelli Sacco, 20157 Milan, Italy., Calcaterra V; Department of Pediatrics, 'V. Buzzi' Children's Hospital, University of Milan, 20157 Milan, Italy.; Pediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia, 27100 Pavia, Italy. |
| Abstrakt: |
During the coronavirus disease of 2019 (COVID-19) emergency, in the pediatric surgical setting, it has been essential to avoid and contain infections as well as to protect both the patients and the surgical team. During this emergency, procedures and workflow were adapted to provide the safest possible environment for both the surgical team and the patients. Pediatric surgical activities were reorganized during the COVID-19 pandemic at the "Vittore Buzzi" Children's Hospital, which is a pediatric/maternal hospital located in Milan (Lombardy Region), Italy. Resources were optimized in order to maintain high levels of care and quality of assistance. During the COVID-19 emergency, the pediatric surgical department at the "Vittore Buzzi" Children's Hospital became an acute care surgical service. For the reorganization of surgical activities, institutional protocols were adapted in order to preserve the pediatric-specific characteristics of our service; five crucial points were specifically addressed. The pediatric surgical procedures carried out during the initial two months of the Italian lockdown are also reported. Continuity of care was maintained for children affected by severe diseases, such as tumors and neurosurgical conditions, whose treatment could not be deferred. Telemedicine and telecommunication were adopted as quick-support modalities for pre- and post-operative care. This reorganization allowed us to preserve the "pediatric specificity" and all care-related procedures offered at this high-quality/high-volume surgical care referral center. |
