Doing Safe Surgery During COVID-19 Pandemic

Öz

Aim : Our tertiary hospital was declared pandemic hospital in the period of COVID-19 outbreak. As a general surgery clinic like other clinics, we started to organize and work for the pandemic. We aimed to present our practices in the general surgery clinic and the measures we have taken. Material and Methods : The data of patients who admitted to general surgery clinics between 10 March 2020 and 1 May 2020 were obtained retrospectively through medical record system of the hospital. Results : Planned elective surgical procedures were canceled due to the COVID-19 pandemic, but oncological cases were operated. 94 patients who were hospitalized for emergency reasons were followed up with non operative, medical treatment. There was a statistically significant difference in the number of surgeries between the pre pandemic and during pandemic periods. 51 patients did not accept hospitalization because of the pandemic. Conclusion : We are grateful to all scientists who share their data clearly. Since the number of infected personnel due to the precautions taken in our clinic is low and there is no postoperative infected patient, we hope that these kinds of studies help to normalize in a shorter time.

Anahtar Kelimeler

• pandemic
• COVID-19
• general surgery
• emergency surgery

COVID-19 Pandemisinde Güvenli Cerrahi Uygulamarı

Öz

Amaç: Üçüncü basamak olan hastanemiz, COVID-19 pandemi döneminde pandemi hastanesi ilan edildi. Diğer klinikler gibi genel cerrahi kliniği olarak da örgütlenmeye ve çalışmaya başladık. Bu çalışmamızda genel cerrahi kliniğindeki uygulamalarımızı ve aldığımız önlemleri sunmayı hedefledik. Gereç ve Yöntemler: 10 Mart 2020 ile 1 Mayıs 2020 tarihleri arasında genel cerrahi kliniğine başvuran hastaların verileri hastanenin tıbbi kayıt sistemi üzerinden geriye dönük olarak elde edildi. Bulgular: Elektif cerrahiler COVID-19 salgını nedeniyle iptal edildi, ancak onkolojik vakalar ameliyat edildi. Acil nedenlerle hastaneye kabul edilen 94 hasta ameliyatsız, tıbbi tedavi ile takip edildi. Pandemi öncesi ve pandemi dönemleri arasında ameliyat sayısı açısından istatistiksel olarak anlamlı bir fark vardı. 51 hasta pandemi nedeniyle hastaneye yatışı kabul etmedi. Sonuçlar: Verilerini açıkça paylaşan tüm bilim insanlarına minnettarız. Kliniğimizde alınan önlemler nedeniyle COVID-19’a yakalanan personel sayısının az olması ve ameliyat sonrası COVID-19’a yakalanan hastamızın olmaması nedeniyle bu tür çalışmaların daha kısa sürede normale dönmesine yardımcı olmasını umuyoruz.

Anahtar Kelimeler

• Pandemi
• COVID-19
• genel cerrahi
• acil cerrahi

Kaynakça

1. 1. Cucinotta, Domenico, Maurizio Vanelli. "WHO declares COVID-19 a pandemic." Acta Bio Medica: Atenei Parmensis. 2020;91(1):157.
2. 2. Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. The Lancet Respiratory Medicine. 2020;8(5):475-481.
3. 3. Ozlu A, Oztas D. Learning Lessons From the Past in Combating the Novel Coronavirus (Covid-19) Pandemic. Ankara Med J. 2020;20(2):468-481.
4. 4. Bhangu A, Søreide K, Di Saverio S, Assarsson J. H, Drake F. T. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet Lond Engl. 2015;386:1278–1287.
5. 5. Kamer E, Çolak T. COVID-19 ile Enfekte Bir Hastasının Operasyona İhtiyacı Olduğunda Ne Yapmalıyız: Cerrahi Öncesi, Cerrahi Sırası ve Cerrahi Sonrası Rehberi. Turk J Colorectal Dis. 2020;30:1-8.
6. 6. covid19.saglik.gov.tr [Internet]. REPUBLIC OF TURKEY MINISTRY COVID-19 INFORMATION PAGE, Turkey COVID-19 patient table. [Updated: 2020 Dec 12; Cited: 2020 Dec 12]. Available from: https://covid19.saglik.gov.tr.
7. 7. Abou-Ismail M. Y, Diamond A, Kapoor S, Arafah Y, Nayak L. The hypercoagulable state in COVID-19: Incidence, pathophysiology, and management. Thrombosis Research 2020;10(01):101-115.
8. 8. Furfaro F, Vuitton L, Fiorino G, Koch S, Allocca M, Gilardi D, et al. SFED recommendations for IBD endoscopy during COVID-19 pandemic: Italian and French experience." Nature Reviews Gastroenterology & Hepatology. 2020;1-10.

9. 9. Chew M H, Tan W J, Ng C Y, Ng K H. Deeply reconsidering elective surgery: worldwide concerns regarding colorectal surgery in a COVID-19 pandemic and a Singapore perspective. Singapore Med J. 2020;61(10):509-511.
10. 10. Djalante R, Lassa J, Setiamarga D, Mahfud C, Sudjatma A, Indrawan M, et al. Review and analysis of current responses to COVID-19 in Indonesia: Period of January to March 2020. Progress in Disaster Science. 2020;6:100091.
11. 11. Stahel P. F. How to risk-stratify elective surgery during the COVID-19 pandemic?. Patient Safety in Surgery. 2020;14(8):1-4.