Impact of the Coronavirus (COVID-19) pandemic on surgical practice - Part 2 (surgical prioritisation)

Int J Surg. 2020 Jul:79:233-248. doi: 10.1016/j.ijsu.2020.05.002. Epub 2020 May 12.

Abstract

The Coronavirus (COVID-19) Pandemic represents a once in a century challenge to human healthcare with over 4.5 million cases and over 300,000 deaths thus far. Surgical practice has been significantly impacted with all specialties writing guidelines for how to manage during this crisis. All specialties have had to triage the urgency of their daily surgical procedures and consider non-surgical management options where possible. The Pandemic has had ramifications for ways of working, surgical techniques, open vs minimally invasive, theatre workflow, patient and staff safety, training and education. With guidelines specific to each specialty being implemented and followed, surgeons should be able to continue to provide safe and effective care to their patients during the COVID-19 pandemic. In this comprehensive and up to date review we assess changes to working practices through the lens of each surgical specialty.

Keywords: COVID-19; Novel coronavirus; Surgery.

Publication types

  • Review

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / transmission
  • Disease Transmission, Infectious / prevention & control
  • Emergency Medical Services / organization & administration
  • Humans
  • Medical Staff, Hospital / education
  • Medical Staff, Hospital / supply & distribution
  • Minimally Invasive Surgical Procedures
  • Pandemics*
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / transmission
  • Practice Guidelines as Topic
  • SARS-CoV-2
  • Surgery Department, Hospital / organization & administration*
  • Triage*
  • Workflow