Abstract
ABSTRACTMedical and surgical priorities have changed dramatically at the time of this pandemic. Scientific societies around the World have provided rapid guidance, underpinned by the best knowledge available, on the adaptation of their guidelines recommendations to the current situation. There are very limited scientific evidence especially in our subspecialty of pediatric urology. We carry out a review of the little scientific evidence based mainly on the few publications available to date and on the recommendations of the main scientific societies regarding which patients should undergo surgery, when surgery should be performed and how patient visits should be organize.
Highlights
Since the COVID-19 epidemic was first declared in China in December 2019 [1], the virus has spread rapidly around the World owing to its characteristics: rapid spread, high contagiousness, and mortality from viral pneumonia
In Europe as of April 28, there have been 880,000 cases of COVID-19, and in Spain 213,000 cases have been confirmed by Polymerase Chain Reaction (PCR) [2]
We have had to convert the departments of our hospitals in an attempt to ensure that human resources and medical infrastructure were adequate to treat patients affected by COVID-19, and a key element of these efforts has been an increase in staff levels through the involvement of doctors from different specialties in the care of these patients
Summary
Since the COVID-19 epidemic was first declared in China in December 2019 [1], the virus has spread rapidly around the World owing to its characteristics: rapid spread, high contagiousness, and mortality from viral pneumonia. We know that certain procedures in the operating room generate aerosols (aerosol-generating procedures, AGP) and thereby increase the risk for surgical personnel if the patient is infected or in the incubation period [13] These include intubation, extubation, bronchoscopy, the introduction of chest tubes, electrocautery, and the use of ultrasonic devices. Laparoscopic/robotic/open surgical techniques The European Association for Endoscopic Surgery reports that there is very little scientific evidence on the relative risks of minimally invasive surgery versus conventional open surgery in the context of COVID-19 It recommends that the risk of viral contamination of personnel during surgery, whether open, laparoscopic, or robotic, be considered and that protective measures be used strictly to ensure the safety of operating room personnel and to maintain a functioning workforce. Any kind of antireflux surgery, pyeloplasty, incontinence surgery if bladder emptying is working
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Schedule a callMore From: International braz j urol : official journal of the Brazilian Society of Urology
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