How to Face with Minimally Invasive Abdominal Surgery During Covid19 Outbreak Surgical and Anesthesiological Concerns

Mirko Barone¹, Marco Prioletta², Luigi Guetti², Sonia Capone⁴, Larissa Pereira Ghammachi⁴, Massimo Ippoliti², Elena Carluccio³, Massimo Cieri¹, Alessandro Marolla¹, Giuseppe Cipollone^2,4, Liberato Aceto¹, Ivan Dell’Atti³, Carmine Lanci Lanci¹, Salvatore Maurizio Maggiore^3,4, Felice Mucilli^2,4

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¹ Department of General and Oncological Surgery, SS. Annunziata Hospital, Chieti, Italy

² Department of General and Thoracic Surgery, SS. Annunziata Hospital, Chieti, Italy

³ Department of Anesthesiology and Intensive Care Medicine, SS. Annunziata Hospital, Chieti, Italy

⁴ University Department of Medical, Oral and Biotechnological Sciences, Gabriele d’Annunzio University of Chieti-Pescara, Chieti, Italy

EJMO 2020, 4(3), 181–184; https://doi.org/10.14744/ejmo.2020.22984

Submitted: 2 March 2020 | Accepted: 28 March 2020 | Published: 5 April 2020

© 2020 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )

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Abstract

The COVID-19 outbreak has profoundly changed both the management and scheduling of surgical patients, necessitating a reduction in the number of elective cases and reserving priority for high-risk classes, such as oncological and emergency surgery. Notwithstanding the introduction of new protocols, much about the disease still remains unknown and surgical approaches, including minimally invasive surgery, are being examined for potential biohazard risks. The purpose of this article is to provide some clarification and to offer some recommendations to minimize the risk of diffusion of the virus during abdominal surgery.

Keywords

Airway management

COVID-19

laparoscopy

minimally invasive surgery

Conflict of interest

None declared.

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