Maintaining a minimally invasive surgical service during a pandemic.
Pediatr Surg Int
; 38(5): 769-775, 2022 May.
Article
in English
| MEDLINE | ID: covidwho-1763343
ABSTRACT
PURPOSE:
The safety of minimally invasive surgery (MIS) was questioned in the COVID-19 pandemic due to concern regarding disease spread. We continued MIS during the pandemic with appropriate protective measures. This study aims to assess the safety of MIS compared to Open Surgery (OS) in this setting.METHODS:
Operations performed during 2020 lockdown were compared with operations from the same time-period in 2019 and 2021. Outcomes reviewed included all complications, respiratory complications, length of stay (LOS) and operating surgeon COVID-19 infections (OSI).RESULTS:
In 2020, MIS comprised 52% of procedures. 29% of MIS 2020 had complications (2019 24%, 2021 15%; p = 0.08) vs 47% in OS 2020 (p = 0.04 vs MIS). 8.5% of MIS 2020 had respiratory complications (2019 7.7%, 2021 6.9%; p = 0.9) vs 10.5% in OS 2020 (p = 0.8 vs MIS). Median LOS[IQR] for MIS 2020 was 2.5[6] days vs 5[23] days in OS 2020 (p = 0.06). In 2020, 2 patients (1.2%) were COVID-19 positive (MIS 1, OS 1) and there were no OSI.CONCLUSION:
Despite extensive use of MIS during the pandemic, there was no associated increase in respiratory or other complications, and no OSI. Our study suggests that, with appropriate protective measures, MIS can be performed safely despite high levels of COVID-19 in the population.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pandemics
/
COVID-19
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
Pediatr Surg Int
Journal subject:
Pediatrics
Year:
2022
Document Type:
Article
Affiliation country:
S00383-022-05107-0
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