Elective Surgery during SARS-Cov-2/COVID-19 Pandemic: Safety Protocols with Literature Review

Background:. Health care systems worldwide have been affected by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emergence since December 2019. The coronavirus disease 2019 (COVID-19) pandemic caused a steep decrease in elective surgery scheduling, to the extent of complete ca...

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Main Authors: Lázaro Cárdenas-Camarena, MD, Jorge Enrique Bayter-Marin, MD, Héctor Durán, MD, Alfredo Hoyos, MD, César Octavio López-Romero, MD, José Antonio Robles-Cervantes, MD, MSc, PhD, Ernesto Eduardo Echeagaray-Guerrero, MD
Format: Article
Language:English
Published: Wolters Kluwer 2020-06-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002973
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author Lázaro Cárdenas-Camarena, MD
Jorge Enrique Bayter-Marin, MD
Héctor Durán, MD
Alfredo Hoyos, MD
César Octavio López-Romero, MD
José Antonio Robles-Cervantes, MD, MSc, PhD
Ernesto Eduardo Echeagaray-Guerrero, MD
author_facet Lázaro Cárdenas-Camarena, MD
Jorge Enrique Bayter-Marin, MD
Héctor Durán, MD
Alfredo Hoyos, MD
César Octavio López-Romero, MD
José Antonio Robles-Cervantes, MD, MSc, PhD
Ernesto Eduardo Echeagaray-Guerrero, MD
author_sort Lázaro Cárdenas-Camarena, MD
collection DOAJ
description Background:. Health care systems worldwide have been affected by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emergence since December 2019. The coronavirus disease 2019 (COVID-19) pandemic caused a steep decrease in elective surgery scheduling, to the extent of complete cancellation without future planning of safe development. Purpose:. We performed a review of the literature and diagnosis data analysis with the aim to reduce the risk of operating a patient infected with SARS-CoV-2/COVID-19 during the incubation period. Methods:. We searched for specific words and phrases about SARS-CoV-2 and COVID-19 in the PubMed database (US National Library of Medicine) from December 2019 to April 2020. A detailed analysis of the clinical picture and existing diagnostic tests for COVID-19 was performed to achieve the desired objectives. Results:. A total of 1273 out of 5930 articles about COVID-19/SARS-CoV-2 did meet the criteria for the searched terms. We reviewed 105 articles, and 60 were selected for analysis. Specific recommendations were described based on our revision. Conclusions:. With the combination of immunoglobulin M and immunoglobulin G antibody tests + real-time polymerase chain reaction for SARS-CoV-2 implemented in different time periods by taking into account the natural history of the disease, it is possible to decrease the risk of operating a patient during the incubation period higher than 93%. Adding other security measures can further increase this percentage. As long as there is no immunity to COVID-19, these measures will help us to perform safer elective surgeries.
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spelling doaj.art-0ea2808b5e254ee4b47dde94458b1d3e2022-12-22T03:13:01ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-06-0186e297310.1097/GOX.0000000000002973202006000-00049Elective Surgery during SARS-Cov-2/COVID-19 Pandemic: Safety Protocols with Literature ReviewLázaro Cárdenas-Camarena, MD0Jorge Enrique Bayter-Marin, MD1Héctor Durán, MD2Alfredo Hoyos, MD3César Octavio López-Romero, MD4José Antonio Robles-Cervantes, MD, MSc, PhD5Ernesto Eduardo Echeagaray-Guerrero, MD6From the * INNOVARE, Specialized Plastic Surgery, Zapopan, Jalisco, México† Clínica “EL Pinar,” Bucaramanga, Colombia‡ Private Practice, Mérida, Yucatán, México§ Elysium Aesthetics, Bogota, ColombiaFrom the * INNOVARE, Specialized Plastic Surgery, Zapopan, Jalisco, México¶ Division of Internal Medicine, Jalisco Institute of Reconstructive Surgery “Dr. José Guerrerosantos,” Zapopan, Jalisco, México‖ Hospital Ángeles del Carmen, Guadalajara, Jalisco, México.Background:. Health care systems worldwide have been affected by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emergence since December 2019. The coronavirus disease 2019 (COVID-19) pandemic caused a steep decrease in elective surgery scheduling, to the extent of complete cancellation without future planning of safe development. Purpose:. We performed a review of the literature and diagnosis data analysis with the aim to reduce the risk of operating a patient infected with SARS-CoV-2/COVID-19 during the incubation period. Methods:. We searched for specific words and phrases about SARS-CoV-2 and COVID-19 in the PubMed database (US National Library of Medicine) from December 2019 to April 2020. A detailed analysis of the clinical picture and existing diagnostic tests for COVID-19 was performed to achieve the desired objectives. Results:. A total of 1273 out of 5930 articles about COVID-19/SARS-CoV-2 did meet the criteria for the searched terms. We reviewed 105 articles, and 60 were selected for analysis. Specific recommendations were described based on our revision. Conclusions:. With the combination of immunoglobulin M and immunoglobulin G antibody tests + real-time polymerase chain reaction for SARS-CoV-2 implemented in different time periods by taking into account the natural history of the disease, it is possible to decrease the risk of operating a patient during the incubation period higher than 93%. Adding other security measures can further increase this percentage. As long as there is no immunity to COVID-19, these measures will help us to perform safer elective surgeries.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002973
spellingShingle Lázaro Cárdenas-Camarena, MD
Jorge Enrique Bayter-Marin, MD
Héctor Durán, MD
Alfredo Hoyos, MD
César Octavio López-Romero, MD
José Antonio Robles-Cervantes, MD, MSc, PhD
Ernesto Eduardo Echeagaray-Guerrero, MD
Elective Surgery during SARS-Cov-2/COVID-19 Pandemic: Safety Protocols with Literature Review
Plastic and Reconstructive Surgery, Global Open
title Elective Surgery during SARS-Cov-2/COVID-19 Pandemic: Safety Protocols with Literature Review
title_full Elective Surgery during SARS-Cov-2/COVID-19 Pandemic: Safety Protocols with Literature Review
title_fullStr Elective Surgery during SARS-Cov-2/COVID-19 Pandemic: Safety Protocols with Literature Review
title_full_unstemmed Elective Surgery during SARS-Cov-2/COVID-19 Pandemic: Safety Protocols with Literature Review
title_short Elective Surgery during SARS-Cov-2/COVID-19 Pandemic: Safety Protocols with Literature Review
title_sort elective surgery during sars cov 2 covid 19 pandemic safety protocols with literature review
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002973
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