Myers EJA, Maldonado PDG, Medina GS, Romero MRD

Language: Spanish
References: 9
Page: 81-85
PDF size: 151.20 Kb.

ABSTRACT

Specific care took place at the Hospital Ángeles Pedregal General Surgery Area as soon as the COVID-19 was declared as a pandemic to take care of patients, medical personnel and paramedics in the surgical areas reorganizing the operational surgery steps. Objective: To describe if the implemented measures in the General Surgery operational service during the COVID-19 pandemic correspond to the international recommendations, and if these were beneficially reflected in the intra-hospital quality care. Material and methods: A descriptive and registry study was made including different variables and procedures depending of the pandemic in Mexico. 133 for phase 1, 48 for phase 2 and 60 for phase 3, this compared retrospectively to the operation of the service before the pandemic. Results: Notable reduction of the elective priority surgical urgency procedures, in major proportion using laparoscopic methods as well as a reduction of number of days of the patients at the hospital. Conclusion: With the operative measures taken, it was possible to have a safe practice, both inside and outside of the surgical room for the patient and the intra-hospital personnel with favorable results in our care center.

REFERENCES

1. Gorbalenya AE, Baker SC, Baric RS, de Groot RJ, Drosten C, Gulyaeva AA et al. Severe acute respiratory syndrome-related coronavirus: the species and its viruses – a statement of the Coronavirus Study Group. BioRxiv. 2020. [Accessed on February 12, 2020] Available in: https://www.biorxiv.org/content/10.1101/2020.02.07.937862v1

2. Aragón-Nogales R, Vargas-Almanza I, Miranda-Novales MG. COVID-19 por SARS-CoV-2: la nueva emergencia de salud. Rev Mex Pediatr. 2019; 86 (6): 213-218. doi: 10.35366/91871.

3. He X, Lau EHY, Wu P, Deng X, Wang J, Hao X et al. Temporal dynamics in viral shedding and transmissibility of COVID-19. Nat Med. 2020; 26 (5): 672-675.

4. American College of Surgeons. COVID-19: guidance for triage of non-emergent surgical procedures. March 13, 2020. [Accessed June 17, 2020] Available in: https://www.facs.org/covid-19/clinical-guidance/elective-surgery

5. Diaz A, Sarac BA, Schoenbrunner AR, Janis JE, Pawlik TM. Elective surgery in the time of COVID-19. Am J Surg. 2020; 219 (6): 900-902. doi: 10.1016/j.amjsurg.2020.04.014.

6. Álvarez Gallego M, Gortázar de Las Casas S, Pascual Migueláñez I, Rubio-Pérez I, Barragán Serrano C, Álvarez Peña E et al. SARS-CoV-2 pandemic on the activity and professionals of a General Surgery and Digestive Surgery Service in a tertiary hospital. Cir Esp. 2020; 98 (6): 320-327.

7. Cano-Valderrama O, Morales X, Ferrigni CJ, Martín-Antona E, Turrado V, García A et al. Acute Care Surgery during the COVID-19 pandemic in Spain: Changes in volume, causes and complications. A multicentre retrospective cohort study. Int J Surg. 2020; 80: 157-161. doi: 10.1016/j.ijsu.2020.07.002.

8. Recomendaciones de la Sociedad de Cirujanos Gastrointestinales y Endoscópicos Americanos y la Asociación Europea de Cirugía Endoscópica sobre la respuesta quirúrgica a la crisis de COVID-19. March 30, 2020. [Accessed June 17, 2020] Available in: https://www.sages.org/recommendations-surgical-response-covid-19

9. Centros para el Control y la Prevención de Enfermedades, Centro Nacional de Enfermedades Infecciosas Emergentes y Zoonóticas (NCEZID), División de Promoción de la Calidad de la Atención Médica (DHQP). January 7, 2016. [Accessed June 17, 2020] Available in: https://www.cdc.gov/infectioncontrol/basics/transmission-based-precautions.html