Adisa Adewale Oluseye, Balogun Olanrewaju Samuel, Osinowo Adedapo, Gagarawa Y'au Abubakar, Ray-Offor Emeka, Oke Olatunbosun Ayokunle, Coker Akinoso Olujimi, Bode Christopher O
Department of Surgery, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.
Department of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
Niger J Surg. 2021 Jan-Jun;27(1):1-4. doi: 10.4103/njs.NJS_68_20. Epub 2021 Mar 9.
COVID-19 pandemic has affected surgical practice worldwide. Laparoscopic procedures utilizing gas for pneumoperitoneum require specific consideration.
A panel of experts of the Laparoscopic Surgery Society of Nigeria (LASSON) was constituted to draft recommendations on the conduct of minimal access surgical (MAS) procedures during and after the pandemic in Nigeria.
The Society strongly believes that laparoscopy and other (MAS) procedures can be safely performed during and after the current COVID-19 pandemic if appropriate safety measures are adhered to. The Society therefore makes the following recommendations for all units performing MAS in Nigeria: (1) Design clear cut measures to navigate the pandemic in each hospital. (2) Triage surgical services and procedures. (3) Encourage screening and testing of all patients (4) Provide adequate patient communication and consenting (5) Ensure compulsory use of Personal Protective Equipments (PPEs) (6) Minimize preoperative and intraoperative personnel (7) Envisage postoperative respiratory challenges and make adequate preparation for respiratory support: (8) Make specific considerations for the confirmed COVID 19 positive patients:(9) Private facilities offering MAS and endoscopic procedures should take special measures during the pandemic (10) Know your limits.
The Society encourages all MAS practitioners to adhere to these recommendations.
新冠疫情已影响全球外科手术实践。利用气体建立气腹的腹腔镜手术需要特别考虑。
尼日利亚腹腔镜外科学会（LASSON）成立了一个专家小组，以起草关于尼日利亚疫情期间及之后开展微创外科（MAS）手术的建议。
该学会坚信，如果遵守适当的安全措施，腹腔镜手术和其他MAS手术在当前新冠疫情期间及之后均可安全进行。因此，该学会为尼日利亚所有开展MAS手术的单位提出以下建议：（1）制定明确措施以应对各医院的疫情。（2）对手术服务和手术进行分类。（3）鼓励对所有患者进行筛查和检测。（4）提供充分的患者沟通和知情同意。（5）确保强制使用个人防护装备（PPE）。（6）尽量减少术前和术中人员。（7）预想术后呼吸挑战并为呼吸支持做好充分准备。（8）对确诊的新冠阳性患者进行特殊考虑。（9）提供MAS和内镜手术的私立机构在疫情期间应采取特殊措施。（10）了解自身能力极限。
该学会鼓励所有MAS从业者遵守这些建议。
