Gulinac Milena, Novakov Ivan P, Antovic Svetozar, Velikova Tsvetelina
Department of General and Clinical Pathology, Medical University, University Hospital "St George," Plovdiv 6000, Bulgaria.
Department of Thoraco-abdominal Surgery, Medical University, Plovdiv 6000, Bulgaria.
World J Gastrointest Surg. 2021 Aug 27;13(8):788-795. doi: 10.4240/wjgs.v13.i8.788.
The coronavirus disease 2019 (COVID-19) pandemic has had a considerable impact on the work of physicians and surgeons. The connection between the patient and the surgeon cannot be replaced by telemedicine. For example, the surgical staff faces more serious difficulties compared to non-surgical specialists during the COVID-19 pandemic. The primary concerns include the safest solutions for protecting healthcare staff and patients and the ability to provide adequate surgical care. Additionally, the adverse effects of any surgery delays and the financial consequences complicate the picture. Therefore, patients' admission during the COVID-19 pandemic should be taken into consideration, as well as preoperative measures. The COVID-19 situation brings particular risk to patients during surgery, where preoperative morbidity and mortality rise in either asymptomatic or symptomatic COVID-19 patients. This review discusses the recent factors associated with surgical complications, mortality rates, outcomes, and experience in COVID-19 surgical patients.
2019年冠状病毒病(COVID-19)大流行对内科医生和外科医生的工作产生了重大影响。患者与外科医生之间的联系无法通过远程医疗来替代。例如,在COVID-19大流行期间,与非外科专科医生相比,外科医护人员面临更严峻的困难。主要担忧包括保护医护人员和患者的最安全解决方案以及提供充分外科护理的能力。此外,任何手术延迟的不良影响和经济后果使情况更加复杂。因此,应考虑COVID-19大流行期间患者的入院情况以及术前措施。COVID-19情况给手术期间的患者带来特殊风险,无症状或有症状的COVID-19患者术前发病率和死亡率都会上升。本综述讨论了与COVID-19手术患者的手术并发症、死亡率、结局和经验相关的近期因素。