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Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

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COVID-19: impact on colorectal surgery.

S D Wexner¹, D Cortés-Guiral², H Gilshtein¹

¹Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|May 3, 2020

Summary

During the COVID-19 pandemic, colorectal surgery requires careful operating room (OR) management and personal protective equipment (PPE) use. This includes considering aerosol-generating procedures (AGPs) and negative-pressure environments for patient and caregiver safety.

Keywords:

COVID-19 Coronavirus pandemic transmission

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Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery

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Published on: September 27, 2024

Area of Science:

Colorectal surgery
Infectious disease control
Operating room management

Background:

The COVID-19 pandemic presented significant challenges to surgical healthcare systems globally.
Urgent and emergency colorectal surgeries, including for cancer, necessitated rapid adaptation of operating room (OR) protocols.

Purpose of the Study:

To address critical considerations for patient and caregiver safety during colorectal surgery amidst the COVID-19 pandemic.
To evaluate operating room (OR) utilization and techniques in the context of pandemic-related safety measures.

Main Methods:

Discussion of knowledge regarding personal protective equipment (PPE) and OR environment safety.
Analysis of the impact of negative-pressure environments and aerosol-generating procedures (AGPs) on surgical practices.
Review of lessons learned from pressurized intraperitoneal aerosolized chemotherapy procedures.

Main Results:

Additional PPE may be required based on local COVID-19 testing availability and infection rates.
Negative-pressure environments are recommended for ORs, especially during aerosol-generating procedures (AGPs).
Minimally invasive surgery with pneumoperitoneum is an AGP requiring careful consideration and safety measures.

Conclusions:

Safe approaches to colorectal surgery during the COVID-19 pandemic involve managing the OR environment and AGPs.
While no single answer is universally agreed upon, logical and safe strategies have been presented.
Emphasis on patient and caregiver safety through appropriate PPE and environmental controls is paramount.