eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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3/2020
vol. 15
 
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abstract:
Review paper

In pursuit of COVID-19 surgical risk stratification to manage a limited workforce and supplies in minimally invasive surgery

Kryspin Mitura
1
,
Piotr Myśliwiec
2
,
Wojciech Rogula
3
,
Michał Solecki
4
,
Jarosław P. Furtak
5
,
Michał Kazanowski
6
,
Stanisław Kłęk
7
,
Michał Nowakowski
8
,
Michał Pędziwiatr
8
,
Marek Zawadzki
9
,
Grzegorz Wallner
4
,
Jacek Sobocki
10

1.
Faculty of Medical and Health Sciences, University of Natural Sciences and Humanities, Siedlce, Poland
2.
1st Department of General and Endocrine Surgery, Medical University of Bialystok, Bialystok, Poland
3.
Department of Paediatric Surgery, University Paediatric Hospital, Jagiellonian University Medical College, Krakow, Poland
4.
2nd Department of General, Gastrointestinal, and Surgical Oncology, Alimentary Tract, Medical University of Lublin, Lublin, Poland
5.
Department of General Surgery, Pulawy Hospital, Pulawy, Poland
6.
Lower Silesian Oncology Centre in Wroclaw, Wroclaw, Poland
7.
Department of General Surgery, Stanley Dudrick Memorial Hospital, Krakow, Poland
8.
2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland
9.
Regional Specialist Hospital, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
10.
Department of General Surgery and Clinical Nutrition, Medical Centre of Postgraduate Education, Warsaw, Poland
Videosurgery Miniinv 2020; 15 (3): 416–423
Online publish date: 2020/05/10
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The protective barriers used so far in surgery do not provide adequate protection against SARS-CoV-2 virus, and reinforced protective equipment is needed. The rapid increase in the number of patients and the worldwide panic associated with the increasingly low availability of protective equipment has resulted in a shortage of protective equipment in many hospitals. Appropriatepersonal protective equipment must be provided so that the surgical team proceeding to surgery is not excluded from the further struggle for patients’ health, especially in MIS. Reckless and excessive use of maximum protective equipment may result in a severe shortage of these products when the number of infected persons requiring surgery increases. The use of a structured infection risk scheme for medical staff, depending on the results of reverse transcription polymerase chain reaction assays and COVID-19 symptoms, combined with the division of protection equipment into three groups, allows easy selection of an appropriate clothing scheme for the clinical setting.
keywords:

COVID-19, safety, personal protective equipment, FFP3, pandemic, epidemic

  
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