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2020, Number 2

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Rev Mex Cir Endoscop 2020; 21 (2)

Recommendations of the Mexican Association of Robotic Surgery for the reactivation of robotic assisted surgery during the COVID-19 pandemic

Kuri OJA, Solórzano AJJ, Aguirre GMP, Cuendis VA, Galeana NFI, Luján MKI, Rivas LR, Vela SI, Villeda SCI

Language: Spanish
References: 25
Page: 92-99
PDF size: 184.05 Kb.


ABSTRACT

Objectives: To determine the risk of COVID-19 transmission during minimally invasive and robot-assisted surgical procedures and to establish recommendations for the reactivation of robotic surgery in Mexico during the COVID-19 pandemic. Methods: The statements of the national and international surgical societies were reviewed on the risk of COVID-19 transmission during robotic and minimally invasive procedures. In addition, the available literature on COVID-19 and other viral transmissions in CO2 plume, as well as the presence of aerosolized viruses created by electrocautery during these procedures, was reviewed. The recommendations of the societies were compared with the available literature on the subject to create our recommendations for the reactivation of robotic-assisted surgery in Mexico. Results: Recommendations promulgated by various surgical societies evolved over time as more information on COVID-19 transmission became available. There is no evidence of the presence of COVID-19 in the aerosol created by electrocautery or CO2 during robotic or minimally invasive surgery. Technologies exist to reduce the release of CO2 pneumoperitoneum in the operating room, as well as to filter viral particles, which should reduce the risk of exposure of operating room personnel. The preoperative protocol requires negative imaging with computed axial tomography and RT-PCR-SARS-CoV-2 prior to the surgical procedure to guarantee the safety of the patient and the health personnel. Conclusions: Reactivation of robotic surgery is possible during the COVID-19 pandemic as long as protection supplies, strict preoperative protocols are guaranteed, and the adherence to the recommendations outlined in detail within this document is taken in place.


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