Serveur d'exploration sur la Covid et les espaces publics

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SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic.

Identifieur interne : 000079 ( Main/Exploration ); précédent : 000078; suivant : 000080

SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic.

Auteurs : Nader Francis [Royaume-Uni] ; Jonathan Dort [États-Unis] ; Eugene Cho [États-Unis] ; Liane Feldman [Canada] ; Deborah Keller [États-Unis] ; Rob Lim [États-Unis] ; Dean Mikami [États-Unis] ; Edward Phillips [États-Unis] ; Konstantinos Spaniolas [États-Unis] ; Shawn Tsuda [États-Unis] ; Kevin Wasco [États-Unis] ; Tan Arulampalam [Royaume-Uni] ; Markar Sheraz [Royaume-Uni] ; Salvador Morales [Espagne] ; Andrea Pietrabissa [Italie] ; Horacio Asbun [États-Unis] ; Aurora Pryor [États-Unis]

Source :

RBID : pubmed:32323016

Descripteurs français

English descriptors

Abstract

The unprecedented pandemic of COVID-19 has impacted many lives and affects the whole healthcare systems globally. In addition to the considerable workload challenges, surgeons are faced with a number of uncertainties regarding their own safety, practice, and overall patient care. This guide has been drafted at short notice to advise on specific issues related to surgical service provision and the safety of minimally invasive surgery during the COVID-19 pandemic. Although laparoscopy can theoretically lead to aerosolization of blood borne viruses, there is no evidence available to confirm this is the case with COVID-19. The ultimate decision on the approach should be made after considering the proven benefits of laparoscopic techniques versus the potential theoretical risks of aerosolization. Nevertheless, erring on the side of safety would warrant treating the coronavirus as exhibiting similar aerosolization properties and all members of the OR staff should use personal protective equipment (PPE) in all surgical procedures during the pandemic regardless of known or suspected COVID status. Pneumoperitoneum should be safely evacuated via a filtration system before closure, trocar removal, specimen extraction, or conversion to open. All emergent endoscopic procedures performed during the pandemic should be considered as high risk and PPE must be used by all endoscopy staff.

DOI: 10.1007/s00464-020-07565-w
PubMed: 32323016
PubMed Central: PMC7175828


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<name sortKey="Phillips, Edward" sort="Phillips, Edward" uniqKey="Phillips E" first="Edward" last="Phillips">Edward Phillips</name>
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<name sortKey="Wasco, Kevin" sort="Wasco, Kevin" uniqKey="Wasco K" first="Kevin" last="Wasco">Kevin Wasco</name>
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<nlm:affiliation>Surgical Associates of Neenah, Neenah, WI, USA.</nlm:affiliation>
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<region type="state">Wisconsin</region>
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<name sortKey="Arulampalam, Tan" sort="Arulampalam, Tan" uniqKey="Arulampalam T" first="Tan" last="Arulampalam">Tan Arulampalam</name>
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<nlm:affiliation>Anglia Ruskin University School of Medicine, Cambridge, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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<name sortKey="Sheraz, Markar" sort="Sheraz, Markar" uniqKey="Sheraz M" first="Markar" last="Sheraz">Markar Sheraz</name>
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<country xml:lang="fr">Royaume-Uni</country>
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<wicri:noRegion>W2 1NY</wicri:noRegion>
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<name sortKey="Morales, Salvador" sort="Morales, Salvador" uniqKey="Morales S" first="Salvador" last="Morales">Salvador Morales</name>
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<nlm:affiliation>Miami Cancer Institute, Miami, FL, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Miami Cancer Institute, Miami, FL</wicri:regionArea>
<placeName>
<region type="state">Floride</region>
</placeName>
</affiliation>
</author>
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<name sortKey="Pryor, Aurora" sort="Pryor, Aurora" uniqKey="Pryor A" first="Aurora" last="Pryor">Aurora Pryor</name>
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<nlm:affiliation>Stony Brook University Department of Surgery, Stony Brook, NY, USA. Aurora.Pryor@stonybrookmedicine.edu.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<title level="j">Surgical endoscopy</title>
<idno type="eISSN">1432-2218</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Aerosols (adverse effects)</term>
<term>Betacoronavirus (isolation & purification)</term>
<term>COVID-19 (MeSH)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Disease Transmission, Infectious (prevention & control)</term>
<term>Endoscopy (adverse effects)</term>
<term>Endoscopy (standards)</term>
<term>Humans (MeSH)</term>
<term>Infection Control (standards)</term>
<term>Minimally Invasive Surgical Procedures (adverse effects)</term>
<term>Minimally Invasive Surgical Procedures (standards)</term>
<term>Pandemics (prevention & control)</term>
<term>Personal Protective Equipment (standards)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>SARS-CoV-2 (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Aérosols (effets indésirables)</term>
<term>Betacoronavirus (isolement et purification)</term>
<term>Endoscopie (effets indésirables)</term>
<term>Endoscopie (normes)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Interventions chirurgicales mini-invasives (effets indésirables)</term>
<term>Interventions chirurgicales mini-invasives (normes)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Prévention des infections (normes)</term>
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<div type="abstract" xml:lang="en">The unprecedented pandemic of COVID-19 has impacted many lives and affects the whole healthcare systems globally. In addition to the considerable workload challenges, surgeons are faced with a number of uncertainties regarding their own safety, practice, and overall patient care. This guide has been drafted at short notice to advise on specific issues related to surgical service provision and the safety of minimally invasive surgery during the COVID-19 pandemic. Although laparoscopy can theoretically lead to aerosolization of blood borne viruses, there is no evidence available to confirm this is the case with COVID-19. The ultimate decision on the approach should be made after considering the proven benefits of laparoscopic techniques versus the potential theoretical risks of aerosolization. Nevertheless, erring on the side of safety would warrant treating the coronavirus as exhibiting similar aerosolization properties and all members of the OR staff should use personal protective equipment (PPE) in all surgical procedures during the pandemic regardless of known or suspected COVID status. Pneumoperitoneum should be safely evacuated via a filtration system before closure, trocar removal, specimen extraction, or conversion to open. All emergent endoscopic procedures performed during the pandemic should be considered as high risk and PPE must be used by all endoscopy staff.</div>
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<AffiliationInfo>
<Affiliation>University College London, Gower St, Bloomsbury, London, WC1E 6BT, UK.</Affiliation>
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