Videosurgery and Other Miniinvasive Techniques (May 2020)

In pursuit of COVID-19 surgical risk stratification to manage a limited workforce and supplies in minimally invasive surgery

  • Kryspin Mitura,
  • Piotr Myśliwiec,
  • Wojciech Rogula,
  • Michał Solecki,
  • Jarosław Furtak,
  • Michał Kazanowski,
  • Stanisław Kłęk,
  • Michał Nowakowski,
  • Michał Pędziwiatr,
  • Marek Zawadzki,
  • Grzegorz Wallner,
  • Jacek Sobocki

DOI
https://doi.org/10.5114/wiitm.2020.95073
Journal volume & issue
Vol. 15, no. 3
pp. 416 – 423

Abstract

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The protective barriers used so far in surgery do not provide adequate protection against SARS-CoV-2 virus, and reinforced protective equipment is needed. The rapid increase in the number of patients and the worldwide panic associated with the increasingly low availability of protective equipment has resulted in a shortage of protective equipment in many hospitals. Appropriatepersonal protective equipment must be provided so that the surgical team proceeding to surgery is not excluded from the further struggle for patients’ health, especially in MIS. Reckless and excessive use of maximum protective equipment may result in a severe shortage of these products when the number of infected persons requiring surgery increases. The use of a structured infection risk scheme for medical staff, depending on the results of reverse transcription polymerase chain reaction assays and COVID-19 symptoms, combined with the division of protection equipment into three groups, allows easy selection of an appropriate clothing scheme for the clinical setting.

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