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Adapting to an unprecedented scenario: surgery during the COVID-19 outbreak

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Title: Adapting to an unprecedented scenario: surgery during the COVID-19 outbreak
Authors: BENÍTEZ, CARLOS YÁNEZ, PEDIVAL, ANA NOGUÉS, TALAL, ISSA, CROS, BEATRIZ, RIBEIRO JUNIOR, MARCELO AUGUSTO FONTENELLE, AZFAR, MOHAMMAD, SAVERIO, SALOMONE DI, LAINA, JUAN LUIS BLAS
Source: Revista do Colégio Brasileiro de Cirurgiões. January 2020 47
Publisher Information: Colégio Brasileiro de Cirurgiões, 2020.
Publication Year: 2020
Subject Terms: Pandemics, Coronavirus, Coronavirus Infections, Surgicenters, Personal Protective Equipment
More Details: On January 30th, 2020, the World Health Organization declared the Severe Acute Respiratory Syndrome 2 (SARSCoV-2) outbreak an international public health emergency, and one day later, the first COVID-19 case was confirmed in Gomera Island, Spain. In the following weeks, the number of cases in several Spanish cities spiked alarmingly, with thousands reported. This new coronavirus outbreak generated unprecedented changes in the Surgery Departments around the world, first in Asia, followed weeks later in Europe and America. This novel scenario of health crisis demanded a change in logistics and organization to guarantee urgent operations onCOVID-19 cases without interrupting the capability to handle emergency and oncologic surgery in the virus-free population, minimizing the viral transmission to staff and other patients. This manuscript aims to summarize the changes adopted by the General and GI Surgery Departments to address this unprecedented clinical scenario, including the restructuring of surgical schedules, staff preparation, and the departments outbreak response protocols and recommendations for surgical techniques and risk management.
Document Type: article
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Language: English
ISSN: 0100-6991
DOI: 10.1590/0100-6991e-20202701
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  Data: <i>Revista do Colégio Brasileiro de Cirurgiões</i>. January 2020 47
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  Data: On January 30th, 2020, the World Health Organization declared the Severe Acute Respiratory Syndrome 2 (SARSCoV-2) outbreak an international public health emergency, and one day later, the first COVID-19 case was confirmed in Gomera Island, Spain. In the following weeks, the number of cases in several Spanish cities spiked alarmingly, with thousands reported. This new coronavirus outbreak generated unprecedented changes in the Surgery Departments around the world, first in Asia, followed weeks later in Europe and America. This novel scenario of health crisis demanded a change in logistics and organization to guarantee urgent operations onCOVID-19 cases without interrupting the capability to handle emergency and oncologic surgery in the virus-free population, minimizing the viral transmission to staff and other patients. This manuscript aims to summarize the changes adopted by the General and GI Surgery Departments to address this unprecedented clinical scenario, including the restructuring of surgical schedules, staff preparation, and the departments outbreak response protocols and recommendations for surgical techniques and risk management.
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