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Surgery under COVID: An observational study.

M Durand1, H Mirghani1, P Bonfils1

  • 1Université Paris Centre, Service d'ORL et de Chirurgie Cervico-Faciale, HEGP, AP-HP, 20-40, Rue Leblanc, 75015 Paris, France.

European Annals of Otorhinolaryngology, Head and Neck Diseases
|July 3, 2021
PubMed
Summary
This summary is machine-generated.

During the COVID-19 peak, otorhinolaryngology surgeries prioritized urgent cases, with no increased infection risk for operated patients. However, postponed surgeries led to significant patient loss to follow-up.

Keywords:
CoVID-19ENTHead and neck cancerSurgery

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Area of Science:

  • Otorhinolaryngology
  • Head and Neck Surgery
  • Epidemiology

Background:

  • COVID-19 pandemic significantly impacted healthcare systems globally.
  • Surgical departments faced challenges in maintaining services during epidemic peaks.
  • Otorhinolaryngology and head and neck surgery departments required adaptive strategies.

Purpose of the Study:

  • To evaluate the surgery program strategy in an adult otorhinolaryngology department during the COVID-19 peak.
  • To analyze reasons for maintaining surgeries and the postoperative course of patients.
  • To assess the outcomes for patients whose surgeries were postponed.

Main Methods:

  • A single-center observational study conducted in France.
  • Included 124 patients scheduled for surgery between March 21 and May 20, 2020.
  • Reviewed the number and nature of both performed and postponed operations.

Main Results:

  • 54% of scheduled surgeries were performed; 46% were postponed.
  • Surgeries were prioritized for urgent or semi-urgent cases.
  • No surgical site infections were observed in operated patients; 29.8% of postponed patients were lost to follow-up, with 49.1% rescheduled.

Conclusions:

  • Adherence to national/international recommendations minimized risks for operated patients.
  • Postponement of surgeries led to substantial patient loss to follow-up.
  • Intensified follow-up protocols are crucial for patients with rescheduled procedures.