Enhancing safety of laparoscopic surgery in COVID-19 era: clinical experience with low-cost filtration devices.
Betacoronavirus
/ isolation & purification
COVID-19
Coronavirus Infections
/ epidemiology
Disease Transmission, Infectious
/ prevention & control
Emergency Medical Services
/ methods
Equipment Design
Filtration
/ methods
Humans
Infection Control
/ methods
Laparoscopy
/ adverse effects
Operating Rooms
/ methods
Pandemics
/ prevention & control
Pneumonia, Viral
/ epidemiology
Pneumoperitoneum, Artificial
/ methods
SARS-CoV-2
Safety Management
/ methods
Coronavirus
Emergency surgery
Laparoscopy
Oncologic surgery
Pneumoperitoneum
Prevention
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
24
04
2020
accepted:
29
05
2020
pubmed:
4
6
2020
medline:
29
8
2020
entrez:
4
6
2020
Statut:
ppublish
Résumé
Surgery in the era of the current COVID-19 pandemic has been curtailed and restricted to emergency and certain oncological indications, and requires special attention concerning the safety of patients and health care personnel. Desufflation during or after laparoscopic surgery has been reported to entail a potential risk of contamination from 2019-nCoV through the aerosol generated during dissection and/or use of energy-driven devices. In order to protect the operating room staff, it is vital to filter the released aerosol. The assemblage of two easily available and low-cost filter systems to prevent potential dissemination of Coronavirus via the aerosol is described. Forty-nine patients underwent laparoscopic surgeries with the use of one of the two described tools, both of which proved to be effective in smoke evacuation, without affecting laparoscopic visualization. The proposed systems are cost-effective, easily assembled and reproducible, and provide complete viral filtration during intra- and postoperative release of CO
Sections du résumé
BACKGROUND
BACKGROUND
Surgery in the era of the current COVID-19 pandemic has been curtailed and restricted to emergency and certain oncological indications, and requires special attention concerning the safety of patients and health care personnel. Desufflation during or after laparoscopic surgery has been reported to entail a potential risk of contamination from 2019-nCoV through the aerosol generated during dissection and/or use of energy-driven devices. In order to protect the operating room staff, it is vital to filter the released aerosol.
METHODS
METHODS
The assemblage of two easily available and low-cost filter systems to prevent potential dissemination of Coronavirus via the aerosol is described.
RESULTS
RESULTS
Forty-nine patients underwent laparoscopic surgeries with the use of one of the two described tools, both of which proved to be effective in smoke evacuation, without affecting laparoscopic visualization.
CONCLUSION
CONCLUSIONS
The proposed systems are cost-effective, easily assembled and reproducible, and provide complete viral filtration during intra- and postoperative release of CO
Identifiants
pubmed: 32488448
doi: 10.1007/s00068-020-01413-1
pii: 10.1007/s00068-020-01413-1
pmc: PMC7266121
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
731-735Références
Can J Anaesth. 2020 Jun;67(6):732-745
pubmed: 32162212
Ulus Travma Acil Cerrahi Derg. 2020 Apr;26(3):335-342
pubmed: 32394416
Eur J Trauma Emerg Surg. 2020 Jun;46(3):505-510
pubmed: 32303798
JAMA. 2020 Mar 17;323(11):1061-1069
pubmed: 32031570
Ann Surg. 2020 Jul;272(1):e5-e6
pubmed: 32221118
J Med Virol. 1991 Jan;33(1):47-50
pubmed: 1901908
Ann Surg. 2020 Apr 17;:
pubmed: 32379080
N Engl J Med. 2020 Mar 5;382(10):929-936
pubmed: 32004427
Surg Endosc. 1998 Aug;12(8):1017-9
pubmed: 9685533
World J Emerg Surg. 2020 Apr 7;15(1):25
pubmed: 32264898
Lasers Surg Med. 1998;23(3):172-4
pubmed: 9779652
N Engl J Med. 2020 Apr 16;382(16):1564-1567
pubmed: 32182409
Ann Surg. 2020 Jul;272(1):e7-e8
pubmed: 32301809
J Trauma Acute Care Surg. 2020 Jun;88(6):719-724
pubmed: 32267661
J Cardiothorac Vasc Anesth. 2020 May;34(5):1125-1131
pubmed: 32178954
Can J Anaesth. 2020 Jun;67(6):756-758
pubmed: 32144591