Palumbo Piergaspare, Massimi Fanny, Biondi Antonio, Cirocchi Roberto, De Luca Giuseppe Massimiliano, Giraudo Giorgio, Intini Sergio Giuseppe, Monzani Roberta, Sozio Giampaolo, Usai Sofia
Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
Department of General Surgery and Surgical Specialities, University of Catania, Catania, Italy.
Open Med (Wars). 2021 Nov 9;16(1):1696-1704. doi: 10.1515/med-2021-0378. eCollection 2021.
The spread of the COVID-19 disease substantially influenced the International Healthcare system, and the national governments worldwide had before long to decide how to manage the available resources, giving priority to the treatment of the COVID-infected patients. Then, in many countries, it was decided to limit the elective procedures to surgical oncology and emergency procedures. In fact, most of the routine, middle-low complexity surgical interventions were reduced, and the day surgery (DS) activities were almost totally interrupted. As a result of this approach, the waiting list of these patients has significantly increased. In the current phase, with a significant decrease in the incidence of COVID-19 cases, the surgical daily activity can be safely and effectively restarted. Adjustments are mandatory to resume the DS activity. The whole separation of pathways with respect to the long-stay and emergency surgery, an accurate preoperative protocol of patient management, with a proper selection and screening of all-day cases, careful scheduling of surgical organization in the operating room, and planning of the postoperative pathway are the goals for a feasible, safe, and effective resumption of DS activity.
新冠疫情的蔓延对国际医疗体系产生了重大影响,不久之后,世界各国政府就得决定如何管理可用资源,优先治疗新冠感染患者。于是,许多国家决定将择期手术限制在外科肿瘤手术和急诊手术。事实上,大多数常规的、中低复杂度的外科手术都减少了,日间手术(DS)活动几乎完全中断。这种做法导致这些患者的等候名单大幅增加。在当前阶段,随着新冠病例发病率大幅下降,外科日常活动可以安全有效地重启。必须进行调整以恢复日间手术活动。将日间手术路径与长期住院手术和急诊手术完全分开,制定准确的患者术前管理方案,对所有日间手术病例进行适当筛选,精心安排手术室的手术组织日程,以及规划术后路径,这些都是可行、安全且有效地恢复日间手术活动的目标。