Al-Omar Khaled, Bakkar Sohail, Khasawneh Laith, Donatini Gianluca, Miccoli Paolo
Department of Surgery, Faculty of Medicine, The Hashemite University, Zarqa, 13133, Jordan.
Department of General and Endocrine Surgery, University of Poitiers, Poitiers, France.
Updates Surg. 2020 Jun;72(2):291-295. doi: 10.1007/s13304-020-00822-6. Epub 2020 Jun 3.
The 2019 novel corona virus and the disease it causes (COVID-19) is a public health crisis that has profoundly modified the way medical and surgical care is delivered. Countries around the globe had a variable initial response to the COVID-19 pandemic from imposing massive lock downs and quarantine to surrendering to herd immunity. However, healthcare bodies worldwide recognized early on that a triumph against COVID-19 could only be achieved by maintaining the infrastructure of healthcare systems and their capacity to accommodate a potentially overwhelming increase in critical patient care needs. Therefore, they reacted by restricting medical care to emergency cases and postponing elective surgical procedures in all disciplines. The priority was made for treatment of COVID-19 patients and emergency cases. Nevertheless, the battle against the COVID-19 pandemic is still ongoing. In the absence of vaccines or effective drug treatments, its timeline remains uncertain and it cannot be forecast how long healthcare systems will need to cope with it in managing inpatient and outpatient services. Accordingly, extreme measures and restriction may become a recipe for a disaster in the context of the potential adverse health implications imposed by delaying timely medical and surgical care. Therefore, restrictive measures should be substituted with a comprehensive surgical and medical care strategy. One that provides a safe balance between the prevention of COVID-19 and the delivery of essential surgical care. This article provides an overview on how to safely deliver essential surgical care in the time of COIVD-19.
2019新型冠状病毒及其引发的疾病（COVID-19）是一场公共卫生危机，它深刻改变了医疗和外科护理的提供方式。全球各国对COVID-19大流行的初始反应各不相同，从实施大规模封锁和隔离到放任群体免疫。然而，全球医疗保健机构很早就认识到，只有维持医疗保健系统的基础设施及其满足危急患者护理需求潜在大幅增长的能力，才能战胜COVID-19。因此，他们采取的应对措施是将医疗护理限制在紧急病例，并推迟所有学科的择期手术。优先处理COVID-19患者和紧急病例。尽管如此，抗击COVID-19大流行的战斗仍在继续。在没有疫苗或有效药物治疗的情况下，其持续时间仍不确定，也无法预测医疗保健系统在管理住院和门诊服务时需要应对多长时间。因此，在延迟及时的医疗和外科护理可能带来潜在不良健康影响的情况下，极端措施和限制可能会成为一场灾难的根源。因此，应采用全面的外科和医疗护理策略取代限制性措施。这种策略能在预防COVID-19和提供基本外科护理之间实现安全平衡。本文概述了在COVID-19时期如何安全地提供基本外科护理。
