Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (MIS: Laparoscopy and Robotic) During the CO
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REVIEW ARTICLE
Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (MIS: Laparoscopy and Robotic) During the COVID-19 Pandemic: Practice Modifications Expert Panel Consensus Guidelines from Academia of Minimal Access Surgical Oncology (AMASO) S. P. Somashekhar 1 & Rudra Acharya 2 & Avinash Saklani 3 & Devendra Parikh 4 & Jagdishwar Goud 5 & Jagannath Dixit 6 & K. Gopinath 7 & M. Vijay Kumar 8 & Rajesh Bhojwani 9 & Sandeep Nayak 10 & Subramaneswar Rao 11 & Kiran Kothari 12 & K. Chandramohan 13 & Sharad Desai 14 & Arnab Gupta 15 Received: 24 July 2020 / Accepted: 29 October 2020 # Indian Association of Surgical Oncology 2020
Abstract The pandemic of COVID-19 across the globe triggered national lockdowns hampering normal working for all the essential services including healthcare. In order to reduce transmission and safety of patients and healthcare workers, the elective surgeries have been differed. The visits to the hospitals for follow-ups and consultations received temporary halt. However, we cannot halt the treatment for cancer patients who may or may not be COVID-19 positives. These are emergencies and should be treated ASAP. Conducting emergency surgeries during pandemic like COVID-19 is challenge for surgeons and the entire hospital infrastructure. The available information about COVID-19 and its propensity of contamination through droplets and aerosol need some modifications for conducting surgeries successfully without contaminating the hospital buildings, protecting healthcare teams and the patient. With these objectives, some modifications in the operating theater including surgical techniques for minimal access, laparoscopy, and robotic surgery are proposed in this review article. This review article also discusses the safety measures to be followed for the suspected or confirmed COVID-19 patient and the guidelines and recommendations for healthcare teams while treating these patients. Although there is little evidence of viral transmission through laparoscopic or open approaches, modifications to surgical practice such as the use of safe smoke evacuation and minimizing energy device used to reduce the risk of exposure to aerosolized particles to healthcare team are proposed in this review article. Keywords COVID-19 . SARS-CoV-2 . Minimally invasive surgery (MIS) . Personal protection equipment (PPEs) * S. P. Somashekhar [email protected]
Rajesh Bhojwani [email protected]
Rudra Acharya [email protected]
Sandeep Nayak [email protected]
Avinash Saklani [email protected]; [email protected]
Subramaneswar Rao [email protected]
Devendra Parikh [email protected]
Kiran Kothari [email protected]
Jagdishwar Goud [email protected]
K. Chandramohan [email protected]
Jagannath Dixit [email protected] K. Gopinath [email protected] M. Vijay Kumar [email protected]
Sharad Desai [email protected] Arnab Gupta [email protected] Extended author information available on the last page of the article
India
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