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Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (Minimally Invasive Surgery: Laparoscopy and Robotic) during the COVID-19 Pandemic.
Somashekhar, S P; Acharya, Rudra; Manjiri, S; Talwar, Sumit; Ashwin, K R; Rohit Kumar, C.
  • Somashekhar SP; Department of Surgical Oncology, 74967Manipal Hospital, Bengaluru, India.
  • Acharya R; Department of Surgical Oncology, Max Cancer Centre, New Delhi, India.
  • Manjiri S; MSR Medical College, Bangalore, India.
  • Talwar S; Department of MAS and Bariatric Surgery, Manipal Hospital, Bengaluru, India.
  • Ashwin KR; Department of Surgical Oncology, 74967Manipal Hospital, Bengaluru, India.
  • Rohit Kumar C; Department of Surgical Oncology, 74967Manipal Hospital, Bengaluru, India.
Surg Innov ; 28(1): 123-133, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-835741
ABSTRACT
It is inevitable that some patients with suspected or confirmed COVID-19 may require urgent surgical procedures. The objective of this review was to discuss the modifications required in the operating room during COVID-19 times for minimal access, laparoscopy, and robotic surgery, especially with regard to minimally invasive surgical instruments, buffalo filter, trocars with smoke evacuator, and special personal protection equipment. We have discussed the safety measures to be followed for the suspected or confirmed COVID-19 patient. In addition to surgical patients, health care workers should also protect themselves by following the guidelines and recommendations while treating these patients. Although there is little evidence of viral transmission through laparoscopic or open approaches, we recommend modifications to surgical practice such as the use of safe smoke evacuation and minimizing energy device use to reduce the risk of exposure to aerosolized particles to the health care team. Therefore, hospitals must follow specific protocols and arrange suitable training of the health care workers. Following well-established plans to accomplish un-deferrable surgeries in COVID-19-positive patients is strongly recommended.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Infection Control / Laparoscopy / Robotic Surgical Procedures / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Surg Innov Year: 2021 Document Type: Article Affiliation country: 1553350620964323

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Infection Control / Laparoscopy / Robotic Surgical Procedures / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Surg Innov Year: 2021 Document Type: Article Affiliation country: 1553350620964323