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 |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
2019-20 coronavirus outbreak
Infection risk medicine.medical_specialty Medical staff Coronavirus disease 2019 (COVID-19) lcsh:Surgery RT-PCR Chest ct Clinical Neurology lcsh:RC346-429 Article 030218 nuclear medicine & medical imaging Insurance 03 medical and health sciences Chest CT 0302 clinical medicine Pituitary adenoma Pandemic Medicine lcsh:Neurology. Diseases of the nervous system Trans sphenoidal Trans-sphenoidal surgery business.industry COVID-19 lcsh:RD1-811 medicine.disease Surgery Neurology (clinical) business 030217 neurology & neurosurgery |
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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