ABSTRACT
Purpose: We examined the effect of COVID-19 on diseases treated with hepato- biliary- pancreatic surgery from the experience of nosocomial infection at our hospital. Method(s): We examined the treatment of 106 patients admitted by the Division of Hepato- Biliary- Pancreatic Surgery to The Jikei University Hospital for elective surgery from January through May 2020. Result(s): Of the 106 operations, 90 (85%) were performed as scheduled and did not include COVID-19-positive patients. Operations for 16 patients (15%) were postponed, but 5 (31%) of these operations were urgent or quasiurgent and were performed during the study period. Of 95 patients who underwent surgery, 50 (53%) had a malignant tumor, 3 (3%) had a borderline malignant tumor, and 42 (44%) had a benign lesion, of which 41 were gallstones or gallbladder polyps and 1 was an intraductal papillary mucinous neoplasm that caused pancreatitis. Surgery for the latter tumor was postponed while conservative treatment improved conditions, but pancreatitis recurred 2 weeks after discharge, leading to a quasiurgent surgery. Conclusion(s): Owing to COVID-19, 15% of the scheduled elective hepato- biliary- pancreatic operations were postponed. Even lesions considered benign or not requiring emergency surgery should be treated promptly. Thus, the timing of treatment should be determined so that the risks of exacerbation and COVID-19 can be balanced.Copyright © 2022 Jikei University School of Medicine. All rights reserved.
ABSTRACT
Background/Purpose: The purpose of this presentation is to share how we modified our Infant Cleft Palate Clinic (ICP) to a virtual service delivery model during the COVID-19 global pandemic so that other Craniofacial Centers may also be able to use a similar format for their patients. Goals are to briefly describe the purpose of ICP Clinic, the Craniofacial specialists involved, and the preventative approach we use. Methods/Description: The Infant Cleft Palate Clinic is held in a group/ class format and includes presentations by our craniofacial clinic social worker, registered dietitian, nurse, and speech pathologist. Goals of ICP are to provide a parent support group, monitor the infant's feeding, weight gain and development, prepare parents for cleft palate surgery, and provide strategies to facilitate speech development while increasing parents' awareness of compensatory speech errors and how to prevent early maladaptive speech development in babbling and first words. Will discuss the virtual platform we used and how we plan to continue using this virtual platform for those families who may not be able to attend ICP in person in the future.