Soltany Amjad, Hamouda Mohammed, Ghzawi Ansam, Sharaqi Ahmed, Negida Ahmed, Soliman Shaimaa, Benmelouka Amira Yasmine
Department of Plastic and Reconstructive Surgery, Al Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.
Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Ann Med Surg (Lond). 2020 Jul 9;57:24-36. doi: 10.1016/j.amsu.2020.07.003. eCollection 2020 Sep.
The current COVID-19 pandemic has challenged the infrastructure of the healthcare systems. To cope with the pandemic, substantial changes were introduced to surgical practice and education all over the world.
A scoping search in PubMed and Google Scholar was done using the search terms: " They were either searched individually or in combination. All relevant articles of any study design (published within December 15, 2019, till the mid of June 2020), were included and narratively discussed in this review.
Sixty-six articles were reviewed in this article. Through these articles, we provide guidance and recommendations on the preoperative preparation and safety precautions, intraoperative precautions, postoperative precautions, postoperative complications (related to COVID-19), surgical scheduling, emergency surgeries, elective surgeries, cancer surgery, psychological impact on surgical teams, and surgical training during the COVID-19 pandemic.
COVID-19 pandemic has affected nearly all aspects of surgical procedures, scheduling, and staffing. Special precautions were taken before, during, or after surgeries. New treatment and teaching modalities emerged in response to the pandemic. Psychological support and training platforms are necessary for the surgical team.
当前的新冠疫情对医疗系统的基础设施构成了挑战。为应对疫情，全球外科实践和教育都发生了重大变革。
在PubMed和谷歌学术上进行了范围界定搜索，使用的搜索词为：“它们要么单独搜索，要么组合搜索。纳入了任何研究设计的所有相关文章（发表于2019年12月15日至2020年6月中旬），并在本综述中进行了叙述性讨论。
本文共综述了66篇文章。通过这些文章，我们就新冠疫情期间的术前准备和安全预防措施、术中预防措施、术后预防措施、术后并发症（与新冠病毒相关）、手术安排、急诊手术、择期手术、癌症手术、对外科团队的心理影响以及外科培训提供了指导和建议。
新冠疫情几乎影响了手术程序、安排和人员配备的各个方面。手术前、手术期间或手术后都采取了特殊预防措施。为应对疫情出现了新的治疗和教学模式。外科团队需要心理支持和培训平台。
