Emergency Surgery in Urology during the COVID-19 Pandemic

ABSTRACT Proposal: To highlight the indications for emergency surgery during the 2019 Coronavirus pandemic (COVID-19) that support recommendations published in midMarch 2020 by the American Confederation of Urology on its website. Materials and Methods: A bibliographic search was conducted in PubMed and Cochrane Library to perform a non-systematic review, using key words: Urology, Emergency and COVID-19, to determine recommendations for patients that should receive emergency care due to urological pathology. Results: The main recommendations and protocols in the management of different urological emergencies during the COVID-19 pandemic are reviewed and discussed. Conclusions: We are living a new condition with the COVID-19 pandemic, which obliges urologists to conform to the guidelines that appear on a daily basis formulated by multidisciplinary surgical groups to manage urological emergencies. Consequently, in this time of health crisis, we must adapt to the resources available, implementing all biosecurity measures to protect patients and all health personnel who are in charge of patient management.

Casos quirúrgicos relevantes: separación de gemelos siameses thoraco-omphalopagus en Guatemala / Separation of thoraco-omphalopagus siamese twins in Guatemala

Este reporte describe la separación de gemelos siameses Thoraco-omphalopagus y su manejo. ambas siameses compartían el hígado y la bolsa pericárdica y se encontraban unidas desde el tórax, en el manubrio esternal hasta su inserción baja del ombligo en el abdomen. Se describen sus estudios pre-operatorios de TAC y RMI demostrando la presencia de una arteria nutricia que atravesaba el hígado de la gemela A a la B la cual alimentaba a esta última, quien además presentaba un corazón rudimentario con la presencia de solamente una aurícula y un ventrículo.