Safety management in urgent endonasal trans-sphenoidal surgery for pituitary adenoma during the COVID-19 pandemic in Japan – A case report

Autor: Satoshi Kuroda, Kunitaka Maruyama, Yoshitomo Morinaga, Yoshihiro Yamamoto, Takuya Akai, Hiromasa Takakura
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Interdisciplinary Neurosurgery
Interdisciplinary Neurosurgery, Vol 22, Iss, Pp 100820-(2020)
ISSN: 2214-7519
DOI: 10.1016/j.inat.2020.100820
Popis: Highlight • Essentially careful management under COVID-19 pandemic state for high risk surgery. • The preoperative tests including RT-PCR and chest CT. • The government support for these examinations.
We report a 72-year-old woman who required urgent endonasal trans-sphenoidal surgery (eTSS) because of progressive visual field disturbance due to pituitary adenoma, in whom we conducted reverse-transcriptase-polymerase-chain-reaction (RT-PCR) for COVID-19 and chest CT before eTSS. We took care of her by following the rule for suspected infection patient, and safely completed her treatment without medical staff infection. Under COVID-19 pandemic state, essentially careful management including RT-PCR test and chest CT should be taken for the high infection risk surgeries to avoid the outbreak through the hospital. And the cost of RT-PCR test for the patients should be covered by the government budget.
Databáze: OpenAIRE
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