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A Protocol for Performing Reconstructive Microsurgery on Patients With COVID-19
Alessandro Thione1,2,3,4,5,6, Alberto Sánchez-García1,2,3,4,5,6, Alberto Pérez-García1,2,3,4,5,6
1Alessandro Thione, MD, PhD, is a plastic surgeon at Plastic and Reconstructive Surgery Department. University and Polytechnic Hospital La Fe Valencia, Valencia, Spain.
Summary
This article details a protocol for reconstructive microsurgery in patients with COVID-19. It addresses urgent free flap procedures for trauma or tumors during the pandemic.
Area of Science:
- Medicine
- Surgery
- Infectious Diseases
Background:
- The COVID-19 pandemic significantly impacted global healthcare systems.
- Surgical services faced disruptions, leading to postponed elective procedures.
- Urgent reconstructive microsurgery for COVID-19 patients presents unique challenges.
Purpose of the Study:
- To present a protocol for managing patients requiring reconstructive microsurgery during the COVID-19 pandemic.
- To outline care and follow-up procedures for urgent free flap cases in COVID-19 positive patients.
Main Methods:
- Development of a specialized protocol for reconstructive microsurgery in COVID-19 patients.
- Integration of patient care pathways considering infection control and resource allocation.
Main Results:
- The protocol aims to ensure safe and effective reconstructive microsurgery for COVID-19 patients.
- Standardized procedures for pre-operative, intra-operative, and post-operative care are established.
Conclusions:
- A clear protocol is essential for healthcare facilities to manage urgent reconstructive microsurgery in COVID-19 patients.
- This protocol facilitates continued essential surgical care amidst a global health crisis.

