Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review

Detalhes bibliográficos
Autor(a) principal: Hojaij, Flávio Carneiro
Data de Publicação: 2020
Outros Autores: Chinelatto, Lucas Albuquerque, Boog, Gustavo Henrique Pereira, Kasmirski, Júlia Adriana, Lopes, João Vitor Ziroldo, Sacramento, Fernando Mauad
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinics
Texto Completo: https://www.revistas.usp.br/clinics/article/view/170116
Resumo: The coronavirus disease (COVID-19) outbreak started in Wuhan, China, in December 2019, and evolved into a global problem in a short period. The pandemic has led to many social and health-care challenges. In this context, surgery is an area that is facing the need for many adaptations. In this systematic literature review, we analyzed different perspectives concerning this situation, aiming to provide recommendations that could guide surgeons and entities toward screening, elective and emergency surgeries, decision making, and operating room management. A computerized search in PubMed, Scopus, and Scientific Electronic Library Online (SciELO) for relevant literature up to April 4, 2020, was performed. Articles were included if they were related to surgery dynamics in the context of the COVID-19 pandemic. Of the 281 articles found in our initial search and 15 articles from alternative sources, 39 were included in our review after a systematic evaluation. Concerning preoperative testing for severe acute respiratory syndrome coronavirus 2 infection, 29 (74.4%) articles recommended some kind of screening. Another major suggestion was postponing all (or at least selected) elective operations (29 articles, 74.4%). Several additional recommendations with respect to surgical practice or surgical staff were also assessed and discussed, such as performing laparoscopic surgeries and avoiding the use of electrocauterization. On the basis of the current literature, we concluded that any surgery that can be delayed should be postponed. COVID-19 screening is strongly recommended for all surgical cases. Moreover, surgical staff should be reduced to the essential members and provided with institutional psychological support.
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spelling Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic ReviewSurgeryOperationSARS-CoV-2COVID-19CoronavirusRecommendationsThe coronavirus disease (COVID-19) outbreak started in Wuhan, China, in December 2019, and evolved into a global problem in a short period. The pandemic has led to many social and health-care challenges. In this context, surgery is an area that is facing the need for many adaptations. In this systematic literature review, we analyzed different perspectives concerning this situation, aiming to provide recommendations that could guide surgeons and entities toward screening, elective and emergency surgeries, decision making, and operating room management. A computerized search in PubMed, Scopus, and Scientific Electronic Library Online (SciELO) for relevant literature up to April 4, 2020, was performed. Articles were included if they were related to surgery dynamics in the context of the COVID-19 pandemic. Of the 281 articles found in our initial search and 15 articles from alternative sources, 39 were included in our review after a systematic evaluation. Concerning preoperative testing for severe acute respiratory syndrome coronavirus 2 infection, 29 (74.4%) articles recommended some kind of screening. Another major suggestion was postponing all (or at least selected) elective operations (29 articles, 74.4%). Several additional recommendations with respect to surgical practice or surgical staff were also assessed and discussed, such as performing laparoscopic surgeries and avoiding the use of electrocauterization. On the basis of the current literature, we concluded that any surgery that can be delayed should be postponed. COVID-19 screening is strongly recommended for all surgical cases. Moreover, surgical staff should be reduced to the essential members and provided with institutional psychological support.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2020-05-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/clinics/article/view/17011610.6061/clinics/2020/e1923Clinics; Vol. 75 (2020); e1923Clinics; v. 75 (2020); e1923Clinics; Vol. 75 (2020); e19231980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/170116/160860https://www.revistas.usp.br/clinics/article/view/170116/160861Copyright (c) 2020 Clinicsinfo:eu-repo/semantics/openAccessHojaij, Flávio CarneiroChinelatto, Lucas AlbuquerqueBoog, Gustavo Henrique PereiraKasmirski, Júlia AdrianaLopes, João Vitor ZiroldoSacramento, Fernando Mauad2020-05-26T19:16:54Zoai:revistas.usp.br:article/170116Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2020-05-26T19:16:54Clinics - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review
title Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review
spellingShingle Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review
Hojaij, Flávio Carneiro
Surgery
Operation
SARS-CoV-2
COVID-19
Coronavirus
Recommendations
title_short Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review
title_full Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review
title_fullStr Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review
title_full_unstemmed Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review
title_sort Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review
author Hojaij, Flávio Carneiro
author_facet Hojaij, Flávio Carneiro
Chinelatto, Lucas Albuquerque
Boog, Gustavo Henrique Pereira
Kasmirski, Júlia Adriana
Lopes, João Vitor Ziroldo
Sacramento, Fernando Mauad
author_role author
author2 Chinelatto, Lucas Albuquerque
Boog, Gustavo Henrique Pereira
Kasmirski, Júlia Adriana
Lopes, João Vitor Ziroldo
Sacramento, Fernando Mauad
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Hojaij, Flávio Carneiro
Chinelatto, Lucas Albuquerque
Boog, Gustavo Henrique Pereira
Kasmirski, Júlia Adriana
Lopes, João Vitor Ziroldo
Sacramento, Fernando Mauad
dc.subject.por.fl_str_mv Surgery
Operation
SARS-CoV-2
COVID-19
Coronavirus
Recommendations
topic Surgery
Operation
SARS-CoV-2
COVID-19
Coronavirus
Recommendations
description The coronavirus disease (COVID-19) outbreak started in Wuhan, China, in December 2019, and evolved into a global problem in a short period. The pandemic has led to many social and health-care challenges. In this context, surgery is an area that is facing the need for many adaptations. In this systematic literature review, we analyzed different perspectives concerning this situation, aiming to provide recommendations that could guide surgeons and entities toward screening, elective and emergency surgeries, decision making, and operating room management. A computerized search in PubMed, Scopus, and Scientific Electronic Library Online (SciELO) for relevant literature up to April 4, 2020, was performed. Articles were included if they were related to surgery dynamics in the context of the COVID-19 pandemic. Of the 281 articles found in our initial search and 15 articles from alternative sources, 39 were included in our review after a systematic evaluation. Concerning preoperative testing for severe acute respiratory syndrome coronavirus 2 infection, 29 (74.4%) articles recommended some kind of screening. Another major suggestion was postponing all (or at least selected) elective operations (29 articles, 74.4%). Several additional recommendations with respect to surgical practice or surgical staff were also assessed and discussed, such as performing laparoscopic surgeries and avoiding the use of electrocauterization. On the basis of the current literature, we concluded that any surgery that can be delayed should be postponed. COVID-19 screening is strongly recommended for all surgical cases. Moreover, surgical staff should be reduced to the essential members and provided with institutional psychological support.
publishDate 2020
dc.date.none.fl_str_mv 2020-05-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clinics/article/view/170116
10.6061/clinics/2020/e1923
url https://www.revistas.usp.br/clinics/article/view/170116
identifier_str_mv 10.6061/clinics/2020/e1923
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clinics/article/view/170116/160860
https://www.revistas.usp.br/clinics/article/view/170116/160861
dc.rights.driver.fl_str_mv Copyright (c) 2020 Clinics
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Clinics
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
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dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; Vol. 75 (2020); e1923
Clinics; v. 75 (2020); e1923
Clinics; Vol. 75 (2020); e1923
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinics
collection Clinics
repository.name.fl_str_mv Clinics - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||clinics@hc.fm.usp.br
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