Join us   Log in   jmsr2014@yahoo.com  


JOURNAL OF MEDICAL AND SURGICAL RESEARCH - Vol. VI, n 3, February 2020

Pages: 724-733
Print Article   Download XML  Download PDF

Resuming Elective Oncologic Surgery After CoVID-19 Outbreak: What Precautions Should be Taken?

Author: Anass M. Majbar, Amine Benkabbou, Raouf Mohsine, Amine Souadka

Category: JMSR Oncology

Abstract:

The COVID 19 outbreak has caused the cancellation of most elective oncological surgery around the world to limit the risk of virus dissemination. As we are exiting the crisis, surgical teams will face strong challenges while resuming normal elective surgery. The accumulation of cases will have to be managed by defining strong selection criteria, taking into account the patient and the disease conditions. In order to reduce the risk of infection, non-COVID patients should be treated in dedicated non-COVID areas, preferably in separate buildings or hospitals. Departments, units and operative theaters should put in place rigorous actions and protocols to protect the patient and healthcare workers. Adequate protective equipment must be readily available for healthcare workers and patients. Finally, teams should keep an adaptive mindset by preparing strategies to maintain surgical activity in case of repeated COVID 19 waves.

Keywords: COVID 19, Guidelines, Lockdown ease, Surgical oncology

DOI: 10.46327/msrjg.1.000000000000161

DOI URL: https://doi.org/10.46327/msrjg.1.000000000000161

References:

1. Souadka A, Benkabbou A, Al Ahmadi B, Boutayeb S, Majbar MA. Preparing African anticancer centres in the COVID-19 outbreak. The lancet oncology. 2020. p. e237.

2. Souadka A, Essangri H, Benkabbou A, Amrani L, Majbar MA. COVID-19 and Healthcare worker’s families: behind the scenes of frontline response. EClinicalMedicine. 2020; 100373.

3. COVID-19: Guidance for Triage of Non-Emergent Surgical Procedures. In: American College of Surgeons [Internet]. [cited 25 May 2020]. Available: https://www.facs.org/covid-19/clinical-guidance/triage

4. Iyengar KP, Jain VK, Vaish A, Vaishya R, Maini L, Lal H. Post COVID-19: Planning strategies to resume orthopaedic surgery -challenges and considerations. J Clin Orthop Trauma. 2020. doi:10.1016/j.jcot.2020.04.028

5. CovidSurg Collaborative, Nepogodiev D, Bhangu A. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Br J Surg. 2020. doi:10.1002/bjs.11746

6. Mouton C, Hirschmann MT, Ollivier M, Seil R, Menetrey J. COVID-19 - ESSKA guidelines and recommendations for resuming elective surgery. J Exp Orthop. 2020;7: 28.

7. Prem K, Liu Y, Russell TW, Kucharski AJ, Eggo RM, Davies N, et al. The effect of control strategies to reduce social mixing on outcomes of the COVID-19 epidemic in Wuhan, China: a modelling study. Lancet Public Health. 2020;5: e261–e270.

8. Berardi G, Levi Sandri GB, Colasanti M, Ettorre GM. Readaptation of surgical practice during COVID-19 outbreak: what has been done, what is missing and what to expect. Br J Surg. 2020. doi:10.1002/bjs.11698

9. Lei S, Jiang F, Su W, Chen C, Chen J, Mei W, et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine. 2020; 100331.

10. Pandemic Influenza Preparedness and Response: A WHO Guidance Document. Geneva: World Health Organization; 2013.

11. Brindle ME, Doherty G, Lillemoe K, Gawande A. Approaching Surgical Triage During the COVID-19 Pandemic. Ann Surg. 2020. doi:10.1097/SLA.0000000000003992

12. Burki TK. Cancer guidelines during the COVID-19 pandemic. The Lancet Oncology. 2020. pp. 629–630. doi:10.1016/s1470-2045(20)30217-5

13. Parvizi J, Gehrke T, Krueger CA, Chisari E, Citak M, Van Onsem S, et al. Resuming Elective Orthopaedic Surgery During the COVID-19 Pandemic. The Journal of Bone and Joint Surgery. 2020. p. 1. doi:10.2106/jbjs.20.00844

14. CDC. Coronavirus Disease 2019 (COVID-19). In: Centers for Disease Control and Prevention [Internet]. 19 May 2020 [cited 24 May 2020]. Available: https://www.cdc.gov/coronavirus/2019-nCoV/hcp/clinical-criteria.html

15. Mallapaty S. Will antibody tests for the coronavirus really change everything? Nature. 2020;580: 571–572.

16. National coronavirus response: A road map to reopening | American Enterprise Institute - AEI. In: American Enterprise Institute - AEI [Internet]. [cited 24 May 2020]. Available: https://www.aei.org/research-products/report/national-coronavirus-response-a-road-map-to-reopening/

17. Low TY, So JBY, Madhavan KK, Hartman M. Restructuring the surgical service during the COVID-19 pandemic: experience from a tertiary institution in Singapore. Br J Surg. 2020. doi:10.1002/bjs.11701

18. Al-Jabir A, Kerwan A, Nicola M, Alsafi Z, Khan M, Sohrabi C, et al. Impact of the coronavirus (COVID-19) pandemic on surgical practice - Part 2 (surgical prioritisation). Int J Surg. 2020. doi:10.1016/j.ijsu.2020.05.002

19. ??????? ??????? ?????? ?????? ???????. [cited 26 May 2020]. Available: http://www.covidmaroc.ma/Pages/ProfessionnelSanteAR.aspx

20. Downs JS, Wilkinson MJ, Gyorki DE, Speakman D. Providing cancer surgery in the COVID-19 crisis. Br J Surg. 2020. doi:10.1002/bjs.11693

21. Qadan M, Hong TS, Tanabe KK, Ryan DP, Lillemoe KD. A Multidisciplinary Team Approach for Triage of Elective Cancer Surgery at the Massachusetts General Hospital During the Novel Coronavirus COVID-19 Outbreak. Ann Surg. 2020. doi:10.1097/SLA.0000000000003963

22. Public Health England. Guidance on shielding and protecting people who are clinically extremely vulnerable from COVID-19. 2020 [cited 24 May 2020]. Available: https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19

23. Lavoué V, Akladios C, Gladieff L, Classe J-M, Lécuru F, Collinet P. Onco-gynecologic surgery in the COVID-19 era: Risks and precautions-A position paper from FRANCOGYN, SCGP, SFCO, and SFOG. J Gynecol Obstet Hum Reprod. 2020; 101787.

24. Ghannam A, Souadka A. Beware of Time Delay and Differential Diagnosis when Screening for Symptoms of COVID-19 in Surgical Cancer Patients. J Am Coll Surg. 2020. doi:10.1016/j.jamcollsurg.2020.04.032

25. UpToDate. [cited 24 May 2020]. Available: https://www.uptodate.com/contents/coronavirus-disease-2019-covid-19-overview-the-basics?topicRef=127551&source=see_link

26. Massey PA, McClary K, Zhang AS, Savoie FH, Barton RS. Orthopaedic Surgical Selection and Inpatient Paradigms During the Coronavirus (COVID-19) Pandemic. J Am Acad Orthop Surg. 2020;28: 436–450.

27. Péré H, Podglajen I, Wack M, Flamarion E, Mirault T, Goudot G, et al. Nasal swab sampling for SARS-CoV-2: A convenient alternative in time of nasopharyngeal swab shortage. J Clin Microbiol. 2020. doi:10.1128/JCM.00721-20

28. Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E, Villamizar-Peña R, Holguin-Rivera Y, Escalera-Antezana JP, et al. Clinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis. Travel Med Infect Dis. 2020;34: 101623.

29. Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A. Coronavirus Disease 2019 (COVID-19): A Systematic Review of Imaging Findings in 919 Patients. AJR Am J Roentgenol. 2020; 1–7.

30. Xie X, Zhong Z, Zhao W, Zheng C, Wang F, Liu J. Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing. Radiology. 2020; 200343.

31. Jiang G, Ren X, Liu Y, Chen H, Liu W, Guo Z, et al. Application and optimization of RT-PCR in diagnosis of SARS-CoV-2 infection. doi:10.1101/2020.02.25.20027755

32. Y. Cherradi. CoVID-19: a digestive disease! Journal of Medical and Surgical Research –JMSR- 2020; 6 (3): 714-721. doi: 10.46327/msrjg.1.000000000000159. doi url: https://doi.org/10.46327/msrjg.1.000000000000159

33. Klompas M, Morris CA, Sinclair J, Pearson M, Shenoy ES. Universal Masking in Hospitals in the Covid-19 Era. N Engl J Med. 2020;382: e63.

34. Advani SD, Smith BA, Lewis SS, Anderson DJ, Sexton DJ. Universal masking in hospitals in the COVID-19 era: Is it time to consider shielding? Infect Control Hosp Epidemiol. 2020; 1–2.

35. Guo X, Wang J, Hu D, Wu L, Gu L, Wang Y, et al. Survey of COVID-19 Disease Among Orthopaedic Surgeons in Wuhan, People’s Republic of China. J Bone Joint Surg Am. 2020;102: 847–854.

36. Björn L D, Nigri G, Tinelli A, Lapeña JFF, Espin-Basany E, Macri P, et al. COVID-19: Pandemic surgery guidance. 4open. 2020;3: 1.

37. Tuech J-J, Gangloff A, Di Fiore F, Michel P, Brigand C, Slim K, et al. Strategy for the practice of digestive and oncological surgery during the Covid-19 epidemic. J Visc Surg. 2020. doi:10.1016/j.jviscsurg.2020.03.008

38. Dexter F, Elhakim M, Loftus RW, Seering MS, Epstein RH. Strategies for daily operating room management of ambulatory surgery centers following resolution of the acute phase of the COVID-19 pandemic. J Clin Anesth. 2020;64: 109854.

39. Tan K-K, Moran BJ, Solomon MJ. Avoiding collateral mortality in a pandemic — time to change our mindset in surgical oncology. Nature Reviews Clinical Oncology. 2020. doi:10.1038/s41571-020-0383-1

40. National University Cancer Institute of Singapore (NCIS) Workflow Team. A segregated-team model to maintain cancer care during the COVID-19 outbreak at an academic center in Singapore. Ann Oncol. 2020. doi:10.1016/j.annonc.2020.03.306

41. Chadi SA, Guidolin K, Caycedo-Marulanda A, Sharkawy A, Spinelli A, Quereshy FA, et al. Current Evidence for Minimally Invasive Surgery During the COVID-19 Pandemic and Risk Mitigation Strategies: A Narrative Review. Ann Surg. 2020. doi:10.1097/SLA.0000000000004010

42. Cook TM. Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic – a narrative review. Anaesthesia. 2020. doi:10.1111/anae.15071

43. Herman JA, Urits I, Kaye AD, Urman RD, Viswanath O. COVID-19: Anesthesia Management Recommendations. J Clin Anesth. 2020; 109840.

44. Francis N, Dort J, Cho E, Feldman L, Keller D, Lim R, et al. SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic. Surg Endosc. 2020;34: 2327–2331.

45. Emile SH. Should we continue using laparoscopy amid the COVID-19 pandemic? Br J Surg. 2020. doi:10.1002/bjs.11669

46. Totten AM, McDonagh MS, Wagner JH. The Evidence Base for Telehealth: Reassurance in the Face of Rapid Expansion During the COVID-19 Pandemic. 2020. doi:10.23970/ahrqepccovidtelehealth

47. Hakim AA, Kellish AS, Atabek U, Spitz FR, Hong YK. Implications for the use of telehealth in surgical patients during the COVID-19 pandemic. Am J Surg. 2020. doi:10.1016/j.amjsurg.2020.04.026