Surgical activity during the Covid-19 pandemic: Results for 112 patients in a French tertiary care center, a quality improvement study

International Journal of Surgery
P PhilouzeK Mohkam

Abstract

After the emergence of Covid-19 in China, Hubei Province, the epidemic quickly spread to Europe. France was quickly hit and our institution was one of the first French university to receive patients infected with Sars-COV2. The predicted massive influx of patients motivated the cancellation of all elective surgical procedures planned to free hospitalization beds and to free intensive care beds. Nevertheless, we should properly select patients who will be canceled to avoid life-threatening. The retained surgical indications are surgical emergencies, oncologic surgery, and organ transplantation. We describe the organization of our institution which allows the continuation of these surgical activities while limiting the exposure of our patients to the Sars Cov2. After 4 weeks of implementation of intra-hospital protocols for the control of the Covid-19 epidemic, 112 patients were operated on (104 oncology or emergency surgeries and 8 liver transplants). Only one case of post-operative contamination was observed. No mortality related to Covid-19 was noted. No cases of contamination of surgical care personnel have been reported. We found that the performance of oncological or emergency surgery is possible, safe for both patients and...Continue Reading

References

Mar 1, 1991·The British Journal of Surgery·G P CopelandM Walters
Dec 11, 2002·Clinical Otolaryngology and Allied Sciences·H GriffithsA Tomkinson
Nov 11, 2019·International Journal of Surgery·Riaz AghaUNKNOWN STROCSS Group
Feb 19, 2020·The Lancet Oncology·Wenhua LiangJianxing He
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Mar 24, 2020·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Vincenzo FicarraUNKNOWN Research Urology Network (RUN)

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Citations

Feb 1, 2021·Annales pharmaceutiques françaises·C BessonB Charpiat
Feb 24, 2021·Archives of Medical Research·Andrea Nachon-AcostaMaritza De la Paz-Roman
Aug 17, 2021·Frontiers in Medicine·Lei LiUNKNOWN Chinese Medical Doctor Association

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Methods Mentioned

BETA
PCR
dissection

Clinical Trials Mentioned

NCT04315948
NCT04379232

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