Surgery in times of COVID-19-recommendations for hospital and patient management

Langenbecks Arch Surg. 2020 May;405(3):359-364. doi: 10.1007/s00423-020-01888-x. Epub 2020 May 8.

Abstract

Background: The novel coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has escalated rapidly to a global pandemic stretching healthcare systems worldwide to their limits. Surgeons have had to immediately react to this unprecedented clinical challenge by systematically repurposing surgical wards.

Purpose: To provide a detailed set of guidelines developed in a surgical ward at University Hospital Wuerzburg to safely accommodate the exponentially rising cases of SARS-CoV-2 infected patients without compromising the care of emergency surgery and oncological patients or jeopardizing the well-being of hospital staff.

Conclusions: The dynamic prioritization of SARS-CoV-2 infected and surgical patient groups is key to preserving life while maintaining high surgical standards. Strictly segregating patient groups in emergency rooms, non-intensive care wards and operating areas prevents viral spread while adequately training and carefully selecting hospital staff allow them to confidently and successfully undertake their respective clinical duties.

Keywords: COVID-19; SARS-CoV-2; Surgery.

Publication types

  • Review

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control
  • Disease Transmission, Infectious / prevention & control*
  • Female
  • Germany
  • Hospitals, University
  • Humans
  • Infection Control / methods*
  • Male
  • Outcome Assessment, Health Care*
  • Pandemics / prevention & control
  • Pandemics / statistics & numerical data
  • Patient Care / standards
  • Patient Isolation
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control
  • Practice Guidelines as Topic*
  • SARS-CoV-2
  • Surgical Procedures, Operative / standards*