Elective surgery in the time of COVID-19

Abstract

Introduction: The ongoing Covid-19 pandemic and the subsequent nationwide lockdown, has impacted all aspects of society including medical profession. In hospitals, the focus has mainly shifted to prevention and treatment of Covid-19 infection. Owing to this, all elective surgeries were postponed and only emergent surgeries were performed. This has affected the patients differently depending on the progression of disease and development of complications. Materials and Methods: A well-structured telephonic scripted questionnaire was administered to all patients who were given appointment for any elective surgery. Data was collected regarding the status of disease including complications and the patient's perspective on method of treatment. Patients who developed complications or underwent emergency surgery or surgery elsewhere were excluded. Results: The male to female ratio was 2.3:1. Mean age of patients was 41.16 years. A total of 86 patients were included in the study. Almost all (98.8%) were aware that the lockdown and withholding of elective surgeries was to prevent spread of coronavirus infection. Among 34 patients with complications, 88.2% were willing to undergo surgical procedure and 73.5% were willing to visit hospital within a week or two. Among patients without complications, 71.2% were willing to continue treatment on wait and watch policy, for a period of 2 months or more (45.7%). 93.5% of patients avoided visit to hospital due to risk of infection. Discussion: Patient's attitude towards the choice of treatment (wait and watch Vs surgery) mainly depended on the progression of disease. It is critical, during these tough times of Covid-19 pandemic, that risks are weighed against bene ts to decide the line of management for patients waiting for elective surgeries.

Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing

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“…Beyond this, surgeons should practice assisting in di cult decisions, critical care, etc. The current COVID-19 pandemic has challenged traditional surgical systems worldwide [7]. Scheduled procedures should be deferred during the COVID-19 pandemic.…”

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