Surgical Care and Resident Education during COVID-19 Pandemic
Al- Anbar Medical Journal,
2021, Volume 17, Issue 2, Pages 49-54
Abstract
COVID-19 pandemic is nearly affecting all surgical activities including providing a surgical care to the patients as well as a negative impact on the educational program of the resident doctors in nearly all surgical specialties. During this period, surgeons set out to find an effective solution to deal with patients who visit outpatient surgical clinics or emergency units especially those who are infected or in contact with an infected individual. Moreover, the continuity of the educational program to the residents, doctors and completion of the syllabus is an essential issue needs to be done in a complete organized manner. The aims are to provide the best solution for them (surgical patients and resident doctors) as well as reducing the risk of the infection to other patients, residents, and healthcare staff. Telemedicine can act as a substitute to many in-person consultation, therefore, it aids in controlling the infection. Many studies and recommendations are tackling this vital issue among surgeons from different specialties across the globe. Despite minor variations among these, these studies serve the above-mentioned purposes. We highlight in this narrative review to give the surgeons an appropriate plan for dealing with suspected or infected COVID-19 surgical cases and to complete the surgical educational program of the resident doctors.1] J. M. Carethers. Insights into disparities observed with
covid19.J. Intern. Med, 289(4):463–473, 2021.
[2] N. Zhuet al.A novel coronavirus from patients with
pneumonia in china, 2019.N. Engl. J. Med., 2020.
[3] V. Sharma, N. Kumar, B. Gupta, and A. Mahajan. Im-
pact of covid-19 pandemic on orthopaedic surgeons in
terms of anxiety, sleep outcomes and change in manage-
ment practices:A cross-sectional study from india.J.
Orthop. Surg., 29(1):1–7, 2021.
[4] A. D. Grubic,S. Ayazi,J. Zebarjadi,H. Tahmasbi,
K. Ayazi, and B. A. Jobe.Covid-19 outbreak and sur-
gical practice: The rationale for suspending non-urgent
surgeries and role of testing modalities.World J. Gas-
trointest. Surg., 12(6):259, 2020.
[5] I. Rubio-P ́erez, J. M. B. P ́erez, M. Mora-Rillo, A. M.
Quir ́os, J. G. Rodriguez, and J. M. Balibrea. Covid-19:
Conceptos clave para el cirujano.Cirugia Espanola, 2020.
[6] D. W. Harkin.Ethics for surgeons during the covid-19
pandemic, review article.Ann. Med. Surg., 2020.
[7] H. Kurihara, P. Bisagni, R. Faccincani, and M. Zago.
Covid-19 outbreak in northern italy:Viewpoint of the
milan area surgical community.J. Trauma Acute Care
Surg., 88(6):719–724, 2020.
[8] P. Chatterji and Y. Li. Effects of the covid-19 pandemic
on outpatient providers in the us.National Bureau of
Economic Research, 2020.
[9] K.-M. Ha. The principle of distance during covid-19 out-
break in korea.Int. Microbiol., 23(4):641–643, 2020.
[10] G. Flodgren, A. Rachas, A. J. Farmer, M. Inzitari, and
S. Shepperd.Interactive telemedicine:effects on pro-
fessional practice and health care outcomes.Cochrane
Database Syst. Rev., (9), 2015.
[11] T.S.Nesbitt,D.M.Hilty,C.A.Kuenneth,and
A. Siefkin.Development of a telemedicine program:a
review of 1,000 videoconferencing consultations.West.
J. Med., 173(3):169, 2000.
[12] A. Ansari.Neurosurgical practice during coronavirus
disease-2019 pandemic.Asian J. Neurosurg., 15(3):469,
2020.
[13] L. P. Kowalskiet al.Covid19 pandemic:effects and
evidencebased recommendations for otolaryngology and
head and neck surgery practice.Head Neck, 42(6):1259–
1267, 2020.
[14] J. Teyet al.Navigating the challenges of the covid-19
outbreak: perspectives from the radiation oncology ser-
vice in singapore.Radiother. Oncol., 148:189–193, 2020.
[15] C. Adlhochet al.European centre for disease prevention
and control. considerations relating to social distancing
measures in response to covid-19 second update.Eur.
Cent. Dis. Prev. Control. Stock. ECDC, 2020.
[16] Covids. Collaborative. Global guidance for surgical care
during the covid19 pandemic.Br. J. Surg., 2020.
[17] V. Mysoreet al.Recommendations for cutaneous and
aesthetic surgeries during covid-19 pandemic.J. Cutan.
Aesthet. Surg., 13(2):77, 2020.
[18] O. Alimogluet al.Emergency surgery during covid-19
pandemic; what has changed in practice?J. Br. Surg.,
107(12):e581–e582, 2020.
[19] B. De Simoneet al.Emergency surgery during the covid-
19 pandemic: what you need to know for practice.Ann.
R. Coll. Surg. Engl., 102(5):323–332, 2020.
[20] S. H. Yoonet al.Chest radiographic and ct findings
of the 2019 novel coronavirus disease (covid-19): analy-
sis of nine patients treated in korea.Korean J. Radiol.,
21(4):494, 2020.
[21] Z. Chenget al.Clinical features and chest ct manifesta-
tions of coronavirus disease 2019 (covid-19) in a single-
center study in shanghai, china.Am. J. Roentgenol.,
215(1):121–126, 2020.
[22] T. Aiet al.Correlation of chest ct and rt-pcr testing for
coronavirus disease 2019 (covid-19) in china: a report of
1014 cases.Radiology, 296(2):E32–E40, 2020.
[23] D. Buonsenso, D. Pata, and A. Chiaretti. Covid-19 out-
break: less stethoscope, more ultrasound.Lancet Respir.
Med., 8(5):e27, 2020.
[24] R. Coimbraet al.European society of trauma and emer-
gency surgery (estes) recommendations for trauma and
emergency surgery preparation during times of covid-19
infection.Eur. J. Trauma Emerg. Surg., 46(3):505–510,
2020.
[25] M. Al-Balas, H. I. Al-Balas, and H. Al-Balas.Surgery
during the covid-19 pandemic: a comprehensive overview
and perioperative care.Am. J. Surg., 219(6):903–906,
2020.
[26] B. Mary and G. Atul.Managing covid-19 in surgical
systems.Ann Surg, 2020.
[27] K. X. Tao, B. X. Zhang, P. Zhang, P. Zhu, G. B. Wang,
and X. P. Chen.Recommendations for general surgery
clinical practice in novel coronavirus pneumonia situa-
tion.Zhonghua Wai Ke Za Zhi, 58:E001, 2020.
[28] M. H. Zheng, L. Boni, and A. Fingerhut. Minimally inva-
sive surgery and the novel coronavirus outbreak: lessons
learned in china and italy.Ann. Surg., 2020.
[29] R. Abdi, R. Shojaeian, S. Hajian, and S. Sheikh. Surgical
practice in the shadow of covid-19 outbreak.Arch. Bone
Jt. Surg., 8(suppl1):256, 2020.
[30] F. C. Hojaij, L. A. Chinelatto, G. H. P. Boog, J. A. Kas-
mirski, J. V. Z. Lopes, and F. M. Sacramento. Surgical
practice in the current covid-19 pandemic: a rapid sys-
tematic review.Clinics, 75, 2020.
[31] C. C. Gillman-Wells, T. K. Sankar, and S. Vadodaria.
Covid-19 reducing the risks:telemedicine is the new
normforsurgicalconsultationsandcommunications.
Aesthetic Plast. Surg., 45(1):343–348, 2021.
[32] T. Jose and A. Joy. Surgical consent during covid pan-
demic: Covid timessurgical consent checklist.Indian J.
Surg., 82(5):918–920, 2020.
[33] J. Wonget al.Preparing for a covid-19 pandemic:a
review of operating room outbreak response measures in
a large tertiary hospital in singapore.Can. J. Anesth.,
67(6):732–745, 2020.
[34] C. R. Smith K. Wu, B. T. Lembcke, and T. B. D. Fer-
reira. Elective surgery during the covid-19 pandemic.N.
Engl. J. Med., 383(18):1787–1790, 2020.
[35] K. Mitura1EFet al.Guidelines for the management of
surgical departments in non-uniform hospitals during the
covid-19 pandemic.Pol Przegl Chir, 92(2):42–53, 2020.
[36] L. K. Ti, L. S. Ang, T. W. Foong, and B. S. W. Ng. What
we do when a covid-19 patient needs an operation: oper-
ating room preparation and guidance.Can. J. Anesth.,
67(6):756–758, 2020.
[37] P. W. H. Peng, P.-L. Ho, and S. S. Hota. Outbreak of a
new coronavirus: what anaesthetists should know.BJA
Br. J. Anaesth., 124(5):497, 2020.
[38] F. Dexter, M. C. Parra, J. R. Brown, and R. W. Lof-
tus.Perioperative covid-19 defense:an evidence-based
approach for optimization of infection control and oper-
ating room management.Anesth. Analg., 2020.
[39] G. Spolveratoet al.The management of surgical patients
during the covid-19 pandemic.Surgery, 2020.
[40] T. Liang.Handbook of covid-19 prevention and treat-
ment.First Affil. Hosp. Zhejiang Univ. Sch. Med. Com-
pil. Accord. to Clin. Exp., 68, 2020.
[41] E. Kamer and T. Colak.What to do when a patient
infected with covid-19 needs an operation: a pre-surgery,
peri-surgery and post-surgery guide.Turk J Color. Dis,
30(1):1–8, 2020.
[42] A. J. Bokolo.Application of telemedicine and ehealth
technology for clinical services in response to covid19
pandemic.Health Technol. (Berl)., 11(2):359–366, 2021.
[43] S. Vivarelli,L. Falzone,C. M. Grillo,G. Scandurra,
F. Torino, and M. Libra.Cancer management during
covid-19 pandemic:Is immune checkpoint inhibitors-
based immunotherapy harmful or beneficial?Cancers
(Basel)., 12(8):2237, 2020.
[44] C. St ̈osset al.Impact of the covid-19 pandemic on sur-
gical oncology in europe: Results of a european survey.
Dig. Surg., pages 1–7, 2021.
[45] C. S. Pramesh and R. A. Badwe.Cancer management
in india during covid-19.N. Engl. J. Med., 382(20):e61,
2020.
[46] P.Samsonetal.Effectsofdelayedsurgicalresec-
tion on short-term and long-term outcomes in clinical
stage i non-small cell lung cancer.Ann. Thorac. Surg.,
99(6):1906–1913, 2015.
[47] B. A. Grotenhuis, P. Van Hagen, B. P. L. Wijnhoven,
M. C. W. Spaander, H. W. Tilanus, and J. J. B. Van
Lanschot. Delay in diagnostic workup and treatment of
esophageal cancer.J. Gastrointest. Surg., 14(3):476–483,
2010.
48] M. C. van Harten, F. J. P. Hoebers, K. W. Kross, E. D.
van Werkhoven, M. W. M. van den Brekel, and B. A. C.
van Dijk.Determinants of treatment waiting times for
head and neck cancer in the netherlands and their rela-
tion to survival.Oral Oncol., 51(3):272–278, 2015.
[49] G. Rambaldiniet al.The impact of severe acute respira-
tory syndrome on medical house staff a qualitative study.
J. Gen. Intern. Med., 20(5):381–385, 2005.
[50] G. M. McAlonanet al.Immediate and sustained psycho-
logical impact of an emerging infectious disease outbreak
on health care workers.Can. J. Psychiatry, 52(4):241–
247, 2007.
[51] R. C. Chicket al.Using technology to maintain the
education of residents during the covid-19 pandemic.J.
Surg. Educ., 2020.
[52] T.Adesoyeetal.Optimizationofsurgicalresident
safetyandeducationduringthecovid-19pandemi-
clessons learned.J. Surg. Educ., 78(1):315–320, 2021.
[53] C. E. Wiseet al.Covid-19 impact on surgical resident
education and coping.J. Surg. Res., 264:534–543, 2021
- Article View: 44
- PDF Download: 31