Recommendations for oncological surgical practice in COVID-19 pandemics: a review of literature

Document Type : Original Article

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Surgery department, Faculty of Medicine, Sohag University, Egypt

Abstract

While the whole world is gaining more and more achievements and progression in several fields, a corona pandemic comes to brake this progress and find us lacking many crucial points. One of these points is to have an emergency protocol for performing different types of surgery in such pandemic states. This led to floundering in surgical decisions for many patients. This review summarizes some recommendations for performing surgeries, especially oncological surgery in the corona pandemic. As a general protection measure, all surgical patients and medical staff must complete preoperative screening whatever symptomatic or not. The medical staff should comply with the regulations of the health facilities to decrease the viral transmission between the medical staff themselves and their patients. Moreover, correct protective apparel (goggles, visor, mask, and protective bodysuit) must be routine. When dealing with a suspected case or a diagnosed patient, tertiary dress code, increasing the operative room ventilation, and installing air purification equipment should be applied. In conclusion, elective surgeries are recommended to be discontinued to avoid patients' and health professionals' morbidity and mortality. Emergency and oncological surgeries to be performed with extreme precautions.

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