Society of Robotic Surgery review: recommendations regarding the risk of COVID-19 transmission during minimally invasive surgery.


Journal

BJU international
ISSN: 1464-410X
Titre abrégé: BJU Int
Pays: England
ID NLM: 100886721

Informations de publication

Date de publication:
08 2020
Historique:
pubmed: 10 5 2020
medline: 26 8 2020
entrez: 9 5 2020
Statut: ppublish

Résumé

To determine the risk of COVID-19 transmission during minimally invasive surgical (MIS) procedures METHODS: Surgical society statements regarding the risk of COVID transmission during MIS procedures were reviewed. In addition, the available literature on COVID-19 and other viral transmission in CO2 pneumoperitoneum, as well as the presence of virus in the plume created by electrocautery during MIS was reviewed. The society recommendations were compared to the available literature on the topic to create our review and recommendations to mitigate COVID-19 transmission. The recommendations promulgated by various surgical societies evolved over time as more information became available on COVID-19 transmission. Review of the available literature on the presence of COVID-19 in CO2 pneumoperitoneum was inconclusive. There is no clear evidence of the presence of COVID-19 in plume created by electrocautery. Technologies to reduce CO2 pneumoperitoneum release into the operating room as well as filter viral particles are available and should reduce the exposure risk to operating room personnel. There is no clear evidence of COVID-19 virus in the CO2 used during MIS procedures or in the plume created by electrocautery. Until the presence or absence of COVID-19 viral particles has been clearly established, measures to mitigate CO2 and surgical cautery plume release into the operating room should be performed. Further study on the presence of COVID-19 in MIS pneumoperitoneum and cautery plume is needed.

Identifiants

pubmed: 32383520
doi: 10.1111/bju.15105
pmc: PMC7267386
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

225-234

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2020 The Authors BJU International © 2020 BJU International Published by John Wiley & Sons Ltd.

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Auteurs

James Porter (J)

Department of Urology, Swedish Medical Centre, Seattle, WA, USA.

Elliot Blau (E)

Department of Urology, Swedish Medical Centre, Seattle, WA, USA.

Farid Gharagozloo (F)

Center for Advanced Thoracic Surgery, Florida Hospital Celebration Health, University of Central Florida, Celebration, FL, USA.

Martin Martino (M)

Department of Gynaecologic Oncology, Lehigh Valley Health Network, Allentown, PA, USA.

Robert Cerfolio (R)

Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, USA.

Umamaheswar Duvvuri (U)

Department of Otolaryngology, University of Pittsburgh Medical Centre, Pittsburgh, PA, USA.

Aileen Caceres (A)

Department of Obstetrics and Gynecology, University of Central Florida College of Medicine, Orlando, FL, USA.

Ketan Badani (K)

Department of Urology, Mount Sinai Medical School, New York, NY, USA.

Sam Bhayani (S)

Division of Urology, Washington University School of Medicine, St Louis, MO, USA.

Justin Collins (J)

ORSI Academy, Melle, Belgium.

Rafael Coelho (R)

Department of Urology, Instituto do Câncer do Estado de São Paulo (Icesp), São Paulo, Brazil.

Bernard Rocco (B)

Urology Department, University of Modena and Reggio Emilia, Modena, Italy.

Peter Wiklund (P)

Department of Urology, Karolinska University Hospital, Stockholm, Sweden.

Senthil Nathan (S)

Division of Surgery and Interventional Science, University College London, London, UK.

Eduardo Parra-Davila (E)

Department of Surgery, Celebration Health, Celebration, FL, USA.

Carlos Ortiz-Ortiz (C)

Department of Surgery, Celebration Health, Celebration, FL, USA.

Kris Maes (K)

Center for Robotic and Minimally Invasive Surgery, Hospital da Luz Lisboa, Lisboa, Portugal.

Prokar Dasgupta (P)

Urology, Guy's Hospital, Kings College London, London, UK.

Vipul Patel (V)

Global Robotics Institute, Florida Hospital-Celebration Health Celebration, Orlando, FL, USA.

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Classifications MeSH