Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
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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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 application/xml |
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 |
_version_ |
1800222765042630656 |