Department of Urology, Faculty of Medicine, Istanbul Medipol University, 34200, Istanbul, Turkey.
Int Urol Nephrol. 2020 Nov;52(11):2059-2064. doi: 10.1007/s11255-020-02553-4. Epub 2020 Jun 24.
It is reported that surgical procedures performed during the COVID-19 pandemic are accompanied by high complications and risks. In this study, the urological interventions applied with appropriate infrastructure and protocols during the pandemic in the pandemic hospital that is carrying out the COVID-19 struggle are analyzed.
Urological interventions were reviewed in the 5-week period between March 11 and April 16. The distribution of outpatient and interventional procedures was determined by weeks concurrently along with the COVID-19 patient workload, and data in the country, subgroups were further analyzed. Patients intervened were divided into four groups as Emergency, High, Intermediate, and Low Priority cases according to the EAU recommendations. The COVID-19-related findings were recorded; staff and patient effects were reported.
Of the 160 interventions, 65 were minimally invasive or open surgical intervention, 95 were non-surgical outpatient intervention, and the outpatient admission was 777. According to the priority level, 33 cases had emergency and high priority, 32 intermediate and low priority. COVID-19 quarantine and follow-up were performed at least 1 week in 22 (33.8%) operated patients at the last week, 43 (66.2%) patients who were operated in the previous 4 weeks followed up at least 2 weeks. No postoperative complications were encountered in any patient due to COVID-19 during the postoperative period.
In the COVID-19 pandemic, precautions, isolation, and algorithms are required to avoid disruption in the intervention and follow-up of urology patients; priority urological interventions should not be disrupted in the presence of necessary experience and infrastructure.
据报道，在 COVID-19 大流行期间进行的手术伴有较高的并发症和风险。在本研究中，分析了在开展 COVID-19 斗争的大流行医院中，在大流行期间应用适当的基础设施和方案进行的泌尿科干预措施。
回顾了 3 月 11 日至 4 月 16 日的 5 周期间的泌尿科干预措施。根据同期 COVID-19 患者工作量以及国家、亚组的数据，确定了门诊和介入性手术的分布情况。根据 EAU 建议，将接受干预的患者分为急诊、高、中、低优先级病例 4 组。记录与 COVID-19 相关的发现；报告工作人员和患者的影响。
在 160 例干预中，65 例为微创或开放性手术干预，95 例为非手术门诊干预，门诊入院 777 例。根据优先级水平，33 例为急诊和高优先级，32 例为中低优先级。在最后一周，22 例（33.8%）接受手术的患者中至少有 1 周进行了 COVID-19 隔离和随访，前 4 周接受手术的 43 例（66.2%）患者至少随访了 2 周。在术后期间，由于 COVID-19，没有任何患者出现术后并发症。
在 COVID-19 大流行期间，需要采取预防措施、隔离和算法，以避免中断泌尿科患者的干预和随访；在存在必要的经验和基础设施的情况下，不应中断优先的泌尿科干预。
