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对于疑似或感染 COVID-19 的患者,我们如何将腹腔镜手术过程中病毒污染的潜在风险降到最低?

How can we minimize the potential risk of viral contamination during laparoscopic procedures for suspected or infected COVID-19 patients?

机构信息

Department of Gynecology and Obstetrics, Hôpital Femme Mère Enfant, HFME, 59 Boulevard Pinel, Hospices Civils de Lyon, 69000, Lyon, France; Université Claude Bernard Lyon 1, EMR 3738, 69000, Lyon, France.

Department of Anesthesiology, Hôpital Femme Mère Enfant, HFME, 59 Boulevard Pinel, Hospices CIvils de Lyon, 69000, Lyon, France.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2020 Dec;255:63-66. doi: 10.1016/j.ejogrb.2020.10.011. Epub 2020 Oct 16.

Abstract

Several societies have raised the risk of viral transmission of SARS-Cov-2 due to surgical smoke during laparoscopic procedures in infected patients. We propose to discuss this issue and to describe specific measures during laparoscopic procedures and a new homemade closed filtration system for smoke evacuation. Since the outbreak of COVID-19, performing a laparoscopy should meet multi-modal requirements. Surgical smoke evacuation device may be an effective tool in reducing exposure to surgical smoke and aerosols.

摘要

由于感染患者在腹腔镜手术中产生的手术烟雾,一些社会机构已经提高了 SARS-CoV-2 病毒传播的风险。我们建议讨论这个问题,并描述在腹腔镜手术期间的具体措施,以及一种新的用于烟雾清除的国产封闭式过滤系统。自 COVID-19 爆发以来,进行腹腔镜检查应满足多种模式的要求。手术烟雾清除装置可能是减少手术烟雾和气溶胶暴露的有效工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edd1/7561521/d031b8ae365c/gr1_lrg.jpg

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