Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (Minimally Invasive Surgery: Laparoscopy and Robotic) during the COVID-19 Pandemic
| Autor: | Rudra Prasad Acharya, S. Manjiri, K. R. Ashwin, S.P. Somashekhar, Sumit Talwar, C Rohit Kumar |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) Perioperative Care 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Health care Pandemic Humans Medicine Robotic surgery 030212 general & internal medicine Intensive care medicine Laparoscopy Smoke Evacuator minimally invasive surgery Infection Control medicine.diagnostic_test SARS-CoV-2 business.industry Minimal access surgery COVID-19 Frugal Innovation 030220 oncology & carcinogenesis Invasive surgery personal protection equipments Surgery business |
| Zdroj: | Surgical Innovation |
| ISSN: | 1553-3514 1553-3506 |
| Popis: | It is inevitable that some patients with suspected or confirmed COVID-19 may require urgent surgical procedures. The objective of this review was to discuss the modifications required in the operating room during COVID-19 times for minimal access, laparoscopy, and robotic surgery, especially with regard to minimally invasive surgical instruments, buffalo filter, trocars with smoke evacuator, and special personal protection equipment. We have discussed the safety measures to be followed for the suspected or confirmed COVID-19 patient. In addition to surgical patients, health care workers should also protect themselves by following the guidelines and recommendations while treating these patients. Although there is little evidence of viral transmission through laparoscopic or open approaches, we recommend modifications to surgical practice such as the use of safe smoke evacuation and minimizing energy device use to reduce the risk of exposure to aerosolized particles to the health care team. Therefore, hospitals must follow specific protocols and arrange suitable training of the health care workers. Following well-established plans to accomplish un-deferrable surgeries in COVID-19–positive patients is strongly recommended. |
| Databáze: | OpenAIRE |
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