An effective smoke evacuation system for preventing aerosolization during laparoscopy in the Covid-19 Era

Abstract

Introduction: The coronavirus disease (Covid-19) pandemic has led the surgical society to new challenges in the operating theatre. Aerosolization during laparoscopic interventions in Covid-19 patients may pose an increased risk to surgical staff and patients. Methods: We briefly review the inconceivably fast emerging studies for laparoscopy during the Covid-19 era and announce our practical method of surgical plume filtration during laparoscopic procedures of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive patients. Results: The use of minimally invasive surgery can be considered appropriate, safe and feasible in patients with Covid-19 and the use of trocar filtration systems reduces considerably the risks of infection. Conclusions: Despite the little evidence of viral transmission through laparoscopic surgical approach, modifications in surgical practice are recommended, such as the use of filtrating systems in order to minimize staff exposure to aerosolized viral particles. Copyright © Celsius Publishing House.