Department of Gynecology, Cleveland Clinic Florida, Weston, Florida, USA.
Curr Opin Obstet Gynecol. 2021 Aug 1;33(4):262-269. doi: 10.1097/GCO.0000000000000718.
This article will review current guidelines regarding surgical protocols for elective and nonelective surgeries during the severe acute respiratory syndrome coronavirus 2 pandemic.
Perioperative management for surgical patients should be modified to promote the safety and wellbeing of patients and caregivers amidst the COVID-19 pandemic. COVID-19 testing should be performed preoperatively with subsequent preprocedure quarantine. Nonemergent or nonlife-threatening surgery should be postponed for COVID-19 positive patients. The consensus of surgical societies is to use a laparoscopic surgical approach for COVID-19 positive patients when appropriate and to avoid port venting at the end of procedures. For COVID-19 positive patients requiring an emergent procedure, the use of personal protective equipment is strongly recommended.
After over a year of the COVID-19 pandemic, effective protocols and precautions have been established to decrease the morbidity and mortality of patients undergoing surgery and to promote the safety of healthcare personnel. Continued investigations are necessary as cases of new, possibly more virulent, strains of the virus arise.
本文将综述在严重急性呼吸综合征冠状病毒 2 流行期间，择期和非择期手术的外科手术方案的现行指南。
应修改外科患者的围手术期管理，以促进 COVID-19 大流行期间患者和医护人员的安全和健康。应在术前进行 COVID-19 检测，并随后进行术前隔离。对于 COVID-19 阳性患者，应推迟非紧急或非危及生命的手术。外科协会的共识是，在适当情况下，对 COVID-19 阳性患者使用腹腔镜手术方法，并避免在手术结束时对端口进行通风。对于需要紧急手术的 COVID-19 阳性患者，强烈建议使用个人防护设备。
在 COVID-19 大流行一年多之后，已经建立了有效的方案和预防措施，以降低手术患者的发病率和死亡率，并促进医护人员的安全。随着新的、可能更具毒性的病毒株的出现，需要继续进行调查。
