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Enhancing safety of laparoscopic surgery in COVID-19 era: clinical experience with low-cost filtration devices.
Zago, Mauro; Uranues, Selman; Chiarelli, Marco Enoc; Grandi, Samuele; Fumagalli, Luca Andrea; Tavola, Mario; Chiarugi, Massimo; Mariani, Diego; Wienerroither, Valerie; Kurihara, Hayato; Fingerhut, Abe.
  • Zago M; Robotic and Emergency Surgery Department, General Surgery Division, A. Manzoni Hospital, ASST Lecco, Via dell'Eremo 9/11, 29300, Lecco, Italy. m.zago@asst-lecco.it.
  • Uranues S; Section for Surgical Research, Department of Surgery, Medical University of Graz, Graz, Austria.
  • Chiarelli ME; Robotic and Emergency Surgery Department, General Surgery Division, A. Manzoni Hospital, ASST Lecco, Via dell'Eremo 9/11, 29300, Lecco, Italy.
  • Grandi S; Robotic and Emergency Surgery Department, General Surgery Division, A. Manzoni Hospital, ASST Lecco, Via dell'Eremo 9/11, 29300, Lecco, Italy.
  • Fumagalli LA; Robotic and Emergency Surgery Department, General Surgery Division, A. Manzoni Hospital, ASST Lecco, Via dell'Eremo 9/11, 29300, Lecco, Italy.
  • Tavola M; Emergency Department, ICU and Anesthesiology Division, A. Manzoni Hospital, Lecco, Italy.
  • Chiarugi M; General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
  • Mariani D; General Surgery Department, Legnano Hospital, Legnano, Milan, Italy.
  • Wienerroither V; Clinical Division of General Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
  • Kurihara H; Emergency Surgery and Trauma Unit, Department of Surgery, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
  • Fingerhut A; Section for Surgical Research, Department of Surgery, Medical University of Graz, Graz, Austria.
Eur J Trauma Emerg Surg ; 46(4): 731-735, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-459178
ABSTRACT

BACKGROUND:

Surgery in the era of the current COVID-19 pandemic has been curtailed and restricted to emergency and certain oncological indications, and requires special attention concerning the safety of patients and health care personnel. Desufflation during or after laparoscopic surgery has been reported to entail a potential risk of contamination from 2019-nCoV through the aerosol generated during dissection and/or use of energy-driven devices. In order to protect the operating room staff, it is vital to filter the released aerosol.

METHODS:

The assemblage of two easily available and low-cost filter systems to prevent potential dissemination of Coronavirus via the aerosol is described.

RESULTS:

Forty-nine patients underwent laparoscopic surgeries with the use of one of the two described tools, both of which proved to be effective in smoke evacuation, without affecting laparoscopic visualization.

CONCLUSION:

The proposed systems are cost-effective, easily assembled and reproducible, and provide complete viral filtration during intra- and postoperative release of CO2.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infection Control / Laparoscopy / Coronavirus Infections / Pandemics / Filtration Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Eur J Trauma Emerg Surg Year: 2020 Document Type: Article Affiliation country: S00068-020-01413-1

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infection Control / Laparoscopy / Coronavirus Infections / Pandemics / Filtration Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Eur J Trauma Emerg Surg Year: 2020 Document Type: Article Affiliation country: S00068-020-01413-1