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COVID-19 - ESSKA guidelines and recommendations for resuming elective surgery
Caroline Mouton1,2, Michael T Hirschmann3, Matthieu Ollivier4
1Sports Clinic, Centre Hospitalier de Luxembourg - Clinique d'Eich, 78, rue d' Eich, 1460, Luxembourg, Luxembourg.
Journal of Experimental Orthopaedics
|May 15, 2020
Summary
Resuming elective orthopedic surgery post-COVID-19 requires careful patient selection and COVID-free facilities. A phased approach with preoperative testing and monitoring is recommended for safe surgical resumption.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Control
- Public Health
Background:
- The COVID-19 pandemic necessitated a halt in elective surgeries.
- Resuming elective orthopedic surgery requires a structured and safe approach.
Purpose of the Study:
- To provide recommendations and guidelines for the safe resumption of elective orthopedic surgery.
- To outline a phased strategy for surgical recovery in a post-pandemic environment.
Main Methods:
- Developing a patient selection protocol based on COVID-19 status, age, risk factors, and surgical indication.
- Proposing a four-phase strategy for the progressive resumption of elective surgeries.
- Recommending preoperative COVID-19 testing and continuous symptom monitoring.
Main Results:
- Elective surgeries should be conducted in COVID-free facilities with minimized hospital stays.
- Patient selection is critical, prioritizing those with low COVID-19 risk.
- Personal protective equipment (PPE) protocols are essential for surgical teams.
Conclusions:
- A cautious, phased resumption of elective orthopedic surgery is feasible with stringent safety measures.
- Preoperative screening and intraoperative precautions are vital for patient and staff safety.
- Implementing these guidelines ensures a progressive and safe return to elective orthopedic procedures.
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