Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2020 / Cilt: 54 - Sayı: 2

Endocrine Surgery during the COVID-19 Pandemic: Recommendations from the Turkish Association of Endocrine Surgery

Pages
117–131
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In the recent reportsof many endocrine surgery associations and in various reviews, it has been stated that most of the cases can be postponed to thethird stage of the epidemic.We aimed to evaluate the risk reduction strategies and recommendations that can help plan the surgery, prepare for surgery, protectboth patients and healthcare workers during the operation and care for the patients in the postoperative period in endocrine surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The 2019 novel coronavirus disease (COVID-19) was initially seen in Wuhan, China, in December 2019.
📊
Key Findings & Data:World Health Organizationclassified COVID-19 as a pandemic after its rapid spread worldwide in a few months.
💡
Conclusion & Impact:In the recent reportsof many endocrine surgery associations and in various reviews, it has been stated that most of the cases can be postponed to thethird stage of the epidemic.We aimed to evaluate the risk reduction strategies and recommendations that can help plan the surgery, prepare for surgery, protectboth patients and healthcare workers during the operation and care for the patients in the postoperative period in endocrine surgery.
🔬Design:Review & Systematic Survey
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Özet

The 2019 novel coronavirus disease (COVID-19) was initially seen in Wuhan, China, in December 2019. World Health Organizationclassified COVID-19 as a pandemic after its rapid spread worldwide in a few months. With the pandemic, all elective surgeries andnon-emergency procedures have been postponed in our country, as in others. Most of the endocrine operations can be postponedfor a certain period. However, it must be kept in mind that these patients also need surgical treatment, and the delay time shouldnot cause a negative effect on the surgical outcome or disease process. It has recently been suggested that elective surgical interventionscan be described as medically necessary, time-sensitive (MeNTS) procedures.Some guidelines have been published on proper and safe surgery for both the healthcare providers and the patients after theimmediate onset of the COVID-19 pandemic. We should know that these guidelines and recommendations are not meant toconstitute a position statement, the standard of care, or evidence-based/best practice. However, these are mostly the opinionsof a selected group of surgeons. Generally, only life-threatening emergency operations should be performed in the stage wherethe epidemic exceeds the capacity of the hospitals (first stage), cancer and transplantation surgery should be initiated when theoutbreak begins to be controlled (second stage), and surgery for elective cases should be performed in a controlled manner withsuppression of the outbreak (third stage).In this rapidly developing pandemic period, the plans and recommendations to be made on this subject are based on expert opinionsby considering factors, such as the course and biology of the disease, rather than being evidence-based. In the recent reportsof many endocrine surgery associations and in various reviews, it has been stated that most of the cases can be postponed to thethird stage of the epidemic.We aimed to evaluate the risk reduction strategies and recommendations that can help plan the surgery, prepare for surgery, protectboth patients and healthcare workers during the operation and care for the patients in the postoperative period in endocrine surgery.

🔖

Cite This Article

AYGÜN, N., İSCAN, Y., ÖZDEMİR, M., SOYLU, S., AYDIN, O. U., SORMAZ, İ. C., DURAL, A. C., ŞAHBAZ, N. A., TEKSÖZ, S., MAKAY, Ö., EMRE, A. U., HACIYANLI, M., İÇÖZ, R. G., ŞENYÜREK, Y. G., İŞGÖR, A., ULUDAĞ, M. E., TUNCA, F. (2020). Endocrine Surgery during the COVID-19 Pandemic: Recommendations from the Turkish Association of Endocrine Surgery. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 54 - Sayı: 2, 117–131. https://ajindex.com/articles/363404

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Coronavirus disease (COVID-19) outbreak situation. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus- 2019. Accessed May 27, 2020
  2. Prachand VN, Milner R, Angelos P, Posner MC, Fung JJ, Agrawal N, et al. Medically Necessary, Time-Sensitive Procedures: Scoring System to Ethically and Efficiently Manage Resource Scarcity and Provider Risk During the COVID-19 Pandemic. J Am Coll Surg 2020 Apr 9 [Epub ahead of print], doi: 10.1016/j.jamcollsurg. 2020.04.011
  3. Chen YH, Peng JS. Treatment strategy for gastrointestinal tumor under the outbreak of novel coronavirus pneumonia in China. [Article in Chinese]. Zhonghua Wei Chang Wai Ke Za Zhi 2020;23:I–IV
  4. Tao KX, Zhang BX, Zhang P, Zhu P, Wang GB, Chen XP; General Surgery Branch of Hubei Medical Association, General Surgery Branch of Wuhan Medical Association. Recommendations for general surgery clinical practice in 2019 coronavirus disease situation. [Article in Chinese]. Zhonghua Wai Ke Za Zhi 2020;58:170–7
  5. Yu GY, Lou Z, Zhang W. Several suggestions of operation for colorectal cancer under the outbreak of corona virus disease 2019 in China. [Article in Chinese]. Zhonghua Wei Chang Wai Ke Za Zhi 2020;23:208–11
  6. Centers for Disease Control and Prevention (US). Interim U.S. guidance for risk assessment and public health management of healthcare personnel with potential exposure in a healthcare setting to patients with coronavirus disease (COVID-19) [Internet]. Atlanta: CDC; 2020. Available at: https://www.cdc.gov/ coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html. Accessed May 27, 2020
  7. American Association of Gynecologic Laparoscopists (AAGL). Joint statement on minimally invasive gynecologic surgery during the COVID-19 pandemic [Internet]. Cypress: AAGL; 2020. Available at: https://www.aagl.org/news/covid-19-joint-statement-on-minimally- invasive-gynecologicsurgery/. Accessed May 27, 2020
  8. American College of Surgeons (ACS). COVID-19: Elective Case Triage Guidelines for Surgical Care. Available at: https://www.facs.org/covid- 19/clinical-guidance/elective-case. Accessed Jun 01, 2020
  9. American Association of Endocrine Surgeons (AAES) Statement. Available at: endocrinesurgery.org/assets/COVID-19/Prioritize- Backlog-of-Cases.pdf. Accessed May 27, 2020
  10. EAU Robotic Urology Section (ERUS). ERUS (EAU Robotic Urology Section) guidelines during COVID-19 emergency. Available at: https://uroweb.org/eau-robotic-urology-section-erus-guidelines- during-covid-19-emerge