Tsagkaris Christos, Eleftheriades Anna, Matiashova Lolita
European Student Think Tank, Public Health and Policy Working Group, Stg European Student Think Tank, Postjeskade 29, Amsterdam 1058 DE, Netherlands.
Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Perioper Care Oper Room Manag. 2023 Mar;30:100305. doi: 10.1016/j.pcorm.2022.100305. Epub 2022 Dec 26.
The compounding effect of infectious outbreaks and climate change has put a strain on surgical care. Adverse weather conditions derail preoperative planning, postoperative recovery, supply chains and equipment. The COVID-19 pandemic has restricted elective surgical care for the past two years. It is expected that novel SARS-CoV-2 strains and the emergence of Monkeypox can also put barriers to surgical care. Consecutively, mounting surgical morbidity and strenuous efforts to adhere to infection control further increase the ecological footprint of surgical care fueling a vicious circle of clinical and environmental challenges. Multilevel action from the side of surgeons and surgical societies is required. This includes creating contingency plans for sustainable surgical practice amidst public health emergencies, informing stakeholders and the public about the cumulative ramifications of the syndemic on surgery and promoting social participation among surgeons.
传染病爆发和气候变化的复合效应给外科护理带来了压力。恶劣天气条件会扰乱术前规划、术后恢复、供应链和设备。在过去两年里，新冠疫情限制了择期外科护理。预计新型SARS-CoV-2毒株和猴痘的出现也会给外科护理带来障碍。随之而来的是，外科发病率不断上升，以及为坚持感染控制所做的巨大努力，进一步增加了外科护理的生态足迹，从而形成了临床和环境挑战的恶性循环。外科医生和外科协会需要采取多层次行动。这包括在突发公共卫生事件期间制定可持续外科实践的应急计划，向利益相关者和公众通报这种综合征对手术的累积影响，并促进外科医生的社会参与。
