Endocrine, Bariatric and Metabolic Unit, Universitary Hospital Vall d'Hebron, Spain.
Colorectal Surgery, Universitary Hospital Vall d'Hebron, Spain.
Surg Innov. 2021 Apr;28(2):239-244. doi: 10.1177/1553350620975886. Epub 2020 Dec 20.
Since the outbreak of COVID-19 pandemic, many national and international surgical societies have produced guidelines regarding the management of surgical patients. During the mitigation phase of the pandemic, most documents suggested to consider postponing elective procedures, unless this might have impacted the life expectancy of patients. As awareness and knowledge about COVID-19 are gradually increasing, and as we enter a phase when surgical services are resuming their activities, surgical strategies have to adapt to this rapidly evolving scenario. This is particularly relevant when considering screening policies and the associated findings. We herein describe a risk-based approach to the management of patients with surgical diseases, which might be useful in order to limit the risks for healthcare workers and patients, while allowing for resuming elective surgical practice safely.
自 COVID-19 大流行爆发以来，许多国家和国际外科协会已经制定了有关外科患者管理的指南。在大流行的缓解阶段，大多数文件都建议考虑推迟选择性手术，除非这可能影响患者的预期寿命。随着对 COVID-19 的认识和了解逐渐增加，并且随着我们进入外科服务恢复活动的阶段，外科策略必须适应这种快速发展的情况。当考虑筛查政策和相关发现时，这一点尤为重要。我们在此描述了一种基于风险的外科疾病患者管理方法，这对于限制医护人员和患者的风险，同时安全恢复选择性外科实践可能是有用的。
