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dc.contributor.authorShabbir, Asim
dc.contributor.authorMenon, Raj K.
dc.contributor.authorSomani, Jyoti
dc.contributor.authorSo, Jimmy B. Y.
dc.contributor.authorOzmen, Mehmet Mahir
dc.contributor.authorChiu, Philip W. Y.
dc.contributor.authorLomanto, Davide
dc.date.accessioned2020-08-30T20:06:11Z
dc.date.available2020-08-30T20:06:11Z
dc.date.issued2020
dc.identifier.citationShabbir, A., Menon, R. K., Somani, J., So, J. B., Ozman, M., Chiu, P. W., & Lomanto, D. (2020). ELSA recommendations for minimally invasive surgery during a community spread pandemic: a centered approach in Asia from widespread to recovery phases. Surgical Endoscopy, 1-6.en_US
dc.identifier.issn0930-2794
dc.identifier.issn1432-2218
dc.identifier.urihttps://doi.org/10.1007/s00464-020-07618-0
dc.identifier.urihttps://hdl.handle.net/20.500.12713/410
dc.description.abstractBackground The COVID-19 pandemic has resulted in significant changes to surgical practice across the worlds. Some countries are seeing a tailing down of cases, while others are still having persistent and sustained community spread. These evolving disease patterns call for a customized and dynamic approach to the selection, screening, planning, and for the conduct of surgery for these patients. Methods The current literature and various international society guidelines were reviewed and a set of recommendations were drafted. These were circulated to the Governors of the Endoscopic and Laparoscopic Surgeons of Asia (ELSA) for expert comments and discussion. The results of these were compiled and are presented in this paper. Results The recommendations include guidance for selection and screening of patients in times of active community spread, limited community spread, during times of sporadic cases or recovery and the transition between phases. Personal protective equipment requirements are also reviewed for each phase as minimum requirements. Capability management for the re-opening of services is also discussed. The choice between open and laparoscopic surgery is patient based, and the relative advantages of laparoscopic surgery with regard to complications, and respiratory recovery after major surgery has to be weighed against the lack of safety data for laparoscopic surgery in COVID-19 positive patients. We provide recommendations on the operating room set up and conduct of general surgery. If laparoscopic surgery is to be performed, we describe circuit modifications to assist in reducing plume generation and aerosolization. Conclusion The COVID-19 pandemic requires every surgical unit to have clear guidelines to ensure both patient and staff safety. These guidelines may assist in providing guidance to units developing their own protocols. A judicious approach must be adopted as surgical units look to re-open services as the pandemic evolves.en_US
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.relation.isversionof10.1007/s00464-020-07618-0en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOVID-19en_US
dc.subjectMisen_US
dc.subjectSurgeryen_US
dc.subjectLaparoscopic Surgeryen_US
dc.subjectGuidelinesen_US
dc.subjectRecommendationsen_US
dc.titleELSA recommendations for minimally invasive surgery during a community spread pandemic: a centered approach in Asia from widespread to recovery phasesen_US
dc.typearticleen_US
dc.contributor.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.contributor.authorID0000-0003-0649-0111en_US
dc.contributor.institutionauthorOzmen, Mehmet Mahiren_US
dc.relation.journalSurgical Endoscopy and Other Interventional Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.description.wospublicationidWOS:000531774700006en_US
dc.description.pubmedpublicationid32394175en_US
dc.description.wosqualityQ1en_US


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