Kamaratos-Sevdalis Nikolaos, Kourampi Islam, Ozturk Nazli Begum, Mavromanoli Anna C, Tsagkaris Christos
2nd Department of Internal Medicine, Tzaneio General Hospital of Piraeus, 185 36 Piraeus, Greece.
Faculty of Medicine, National and Kapodistrian University of Athens, 157 72 Athens, Greece.
Microorganisms. 2024 Sep 15;12(9):1900. doi: 10.3390/microorganisms12091900.
Mpox, also known as Monkeypox, is an infectious disease known to spread via direct contact and fomites, which poses a significant contagion risk in surgical settings and may increase the challenges already posed by COVID-19. Within the three years following the outbreak of Mpox, we conducted a review of the impact of Mpox on surgical practice. We searched Pubmed/Medline and Scopus, focusing on original studies and case reports in English or German. Our search terms included "Mpox", "Monkeypox", and "Surgery". Out of 60 clinical or epidemiological studies, as well as expert opinions, brief reports, and pertinent literature reviews, eight were included after full-text assessment. We also incorporated two pertinent literature reviews, including a total of 10 papers, in this analysis. The main topics addressed by the literature are 1. manifestations of Mpox for surgical consideration or urgent management, for which it is important to consider whether a surgical approach is needed to address long-term Mpox-related lesions and 2. infection control in surgical settings, especially considering its impact on elective surgery and the well-being of healthcare workers. Mpox could affect surgical services and access to operating theaters. Unlike COVID-19, Mpox, compared to initial concerns, has not substantially compromised surgical delivery. However, limited reports exist on the surgical impact of Mpox. It is crucial to involve surgeons in Mpox diagnosis, educate surgical practitioners on its mimicry of common surgical conditions, enhance infection control during surgery, and ensure access to corrective surgery as a means of tackling the stigmatization associated with Mpox and sexually transmitted diseases in general.
猴痘，又称猴天花，是一种已知通过直接接触和污染物传播的传染病，在手术环境中存在重大传染风险，可能会增加已由新冠疫情带来的挑战。在猴痘疫情爆发后的三年里，我们对猴痘对手术实践的影响进行了综述。我们检索了PubMed/Medline和Scopus，重点关注英文或德文的原始研究和病例报告。我们的检索词包括“猴痘”“猴天花”和“手术”。在60项临床或流行病学研究以及专家意见、简短报告和相关文献综述中，经过全文评估后纳入了8项。我们还在本分析中纳入了两篇相关文献综述，共10篇论文。文献涉及的主要主题有：1. 猴痘的表现以供手术考量或紧急处理，其中重要的是要考虑是否需要采用手术方法来处理与猴痘相关的长期病变；2. 手术环境中的感染控制，尤其要考虑其对择期手术和医护人员健康的影响。猴痘可能会影响手术服务和手术室的使用。与新冠疫情不同的是，与最初的担忧相比，猴痘并未对手术实施造成实质性损害。然而，关于猴痘手术影响的报告有限。让外科医生参与猴痘诊断、对手术从业者进行猴痘类似常见外科病症的培训、加强手术期间的感染控制以及确保提供矫正手术，对于应对与猴痘及一般性传播疾病相关的污名化至关重要。
