Some Thoughts on the Impact of COVID-19 on Plastic Surgery
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LETTER TO THE EDITOR
Some Thoughts on the Impact of COVID-19 on Plastic Surgery Pengfei Sun1 • Yanjin Wang2 • Huachang Sun3 • Fang Luan3
Received: 13 September 2020 / Accepted: 13 September 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Dear Editor The outbreak of coronavirus disease (COVID-19) in December 2019 changed the way human society operates [1]. As plastic surgeons, we are worried about the future of plastic surgery in the context of the COVID-19 epidemic. We read the published study by Kaye and Paprottka entitled Elective, Non-urgent Procedures and Aesthetic Surgery in the Wake of SARS–COVID-19: Considerations Regarding Safety, Feasibility and Impact on Clinical Management [2],carefully. Due to our in-depth study of COVID-19 in the early stages of the epidemic [3–5], we strongly agree with the following points mentioned in the article.
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& Fang Luan [email protected] 1
Department of Auricular Reconstruction, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, No. 33 Bada Road, Shijingshan District, Beijing 100144, People’s Republic of China
2
Department of Plastic Surgery, Affiliated Hospital of Qingdao University, No. 16 Jiangsu Road, Qingdao, Shandong Province, People’s Republic of China
3
Department of Plastic Surgery, Zibo Central Hospital, No. 54 The Communist Youth League Road, Zibo, Shandong Province, People’s Republic of China
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In the near future, several pandemics of COVID-19 are inevitable around the world [6]. We believe that the end result of COVID-19 will be a decline in virulence, a decline in mortality among patients infected with COVID-19, and COVID-19 will coexist with humans, just as the influenza virus does [7]. After several outbreaks of COVID-19, some humans will produce antibodies to the COVID-19. At present, the conclusions of studies that COVID-19 increases mortality in surgical patients are not fully applicable to plastic surgery because plastic surgery is mostly less traumatic surgery for patients and the group of patients receiving plastic surgery is younger, with less suffering from chronic diseases such as diabetes and hypertension. Therefore, we believe that plastic surgery with a short duration and less physical trauma can be performed in the context of the COVID19 epidemic. With regard to the perioperative standard use of antibiotics mentioned by the authors in the article, we believe that prophylactic use of antibiotics can be avoided in plastic surgery without obvious infection lesions if the operation time is less than 3 h. Plastic surgery with a clean incision within 3 h has a low chance of bacterial infection, and there is no evidence that prophylactic use of antibi
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