European Hernia Society (EHS) guidance for the management of adult patients with a hernia during the COVID-19 pandemic

Stabilini, Cesare; East, B; Fortelny, René H.; Gillion, J.-F.; Lorenz, R.; Montgomery, Agneta; Morales-Conde, Salvador; Muysoms, Filip; Pawlak, Maciej; Reinpold, Wolfgang; Simons, M. P.; Beaux, A. C. de

doi:10.1007/s10029-020-02212-8

Cited by 25 publications

(33 citation statements)

References 33 publications

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“…Along with proper precautions, great care must be taken during surgery to minimize the risk of cross infection to health workers. This includes PPE and control of aerosols or body fluids produced during operations that might be contaminated [ 9 ]. Besides the thoracic X-rays, preoperative COVID-19 screening using rapid antibody tests has become a protocol in the surgery department of our hospital, particularly for emergency patients.…”

Section: Discussionmentioning

confidence: 99%

Emergency high ligation in a suspected COVID-19 pediatric patient with incarcerated inguinal hernia: A case report

Gunadi

Makkadafi

Fauzi

et al. 2021

Annals of Medicine and Surgery

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Section: Discussionmentioning

confidence: 99%

Emergency high ligation in a suspected COVID-19 pediatric patient with incarcerated inguinal hernia: A case report

Gunadi

Makkadafi

Fauzi

et al. 2021

Annals of Medicine and Surgery

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“…Along with proper precautions, great care must be taken during surgery to minimize the risk of cross infection to health workers. This includes PPE and control of aerosols or body uids produced during operations that might be contaminated [8]. Besides the thoracic X-rays, preoperative COVID-19 screening using rapid antibody tests has become a protocol in the surgery department of our hospital, particularly for emergency patients.…”

Section: Discussionmentioning

confidence: 99%

Emergency high ligation in a suspected COVID-19 pediatric patient with incarcerated inguinal hernia: a case report

Makkadafi

Fauzi

Praja³

et al. 2020

Preprint

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Background SARS-Cov-2 infects not only adults, but also children, including pediatric surgery patients with acute abdomen. Here, we report a pediatric surgery case with incarcerated inguinal hernia and suspected COVID-19. Case presentation: A 11-month-old male was brought to our emergency department with the main complaint of recurrent yellowish-green vomiting that was experienced from one day before admission. High fever and shortness of breath were also reported. This patient was also suffering from moderate dehydration. Neither history of contact with a confirmed case of COVID-19 nor traveling from any local transmission area were found. However, a SARS-CoV-2 rapid antibody test revealed a positive result. A lump in the left scrotum that persisted during admission was found. Fluid resuscitation and nasogastric tube placement for decompression was performed. Manual reduction was attempted but failed to reduce the lump. Accordingly, we decided to perform an emergency high ligation using tertiary protection regulations, i.e., full personal protective equipment (PPE) for COVID-19. Intraoperatively, we found a small intestine loop trapped in the scrotum and stuck in the inguinal canal. Postoperatively, the baby was continued to be managed as a patient with COVID-19 while waiting for the real-time reverse transcription polymerase chain reaction (RT-PCR) results. Conclusions During the COVID-19 pandemic, surgeons should always be aware of the possibility of cross-transmission from the patient, since children are also susceptible to SARS-CoV-2 infection. When and wherever possible, surgeons should perform the procedure in the quickest and most effective manner to shorten exposure time with patient and anesthetic aerosols as well as using appropriate PPE.

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“…It is important to remember that hernia surgery in most cases is a procedure that can be deferred [ 38 , 39 ]. According to the indications of the European Hernia Society, recommendations will vary between countries with different levels of outbreak, resource utilization for COVID patients, local testing capacities and availability of PPE [ 40 ]. The problem is that more than 60% of the population of SSA is made up of farmers, and agricultural activities account for about 23%.…”

Section: Methodsmentioning

confidence: 99%

Humanitarian Surgical Missions in Times of COVID‐19: Recommendations to Safely Return to a Sub‐Saharan Africa Low‐Resource Setting

et al. 2021

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Background Since the declaration of the pandemic, humanitarian medicine has been discontinued. Until now, there have been no general recommendations on how humanitarian surgical missions should be organized. Methods Based on our experience in the field of humanitarian surgical missions to Sub-Saharan Africa, a panel of recommendations in times of COVID-19 was developed. The fields under study were as follows: (1) Planning of a multidisciplinary project; (2) Organization of the infrastructure; (3) Screening, management and treatment of SARS-COV-2; (4) Diagnostic tests for SARS-COV-2; (5) Surgical priorization and (6) Context of patients during health-care assistance. We applied a risk bias measurement to obtain a consensus among humanitarian health-care providers with experience in this field. Results A total of 94.36% of agreement were reached for the approval of the recommendations. Emergency surgery must be a priority, and elective surgery adapted. For emergency surgery, we established a priority level 1a (< 24 h) and 1b (< 72 h). For an elective procedure, according our American College of Surgeon adaptation score, process with more than 60 points should be reconsidered. Due to the low life expectancy in many African countries, we consider 45–50 years as age of risk. In case of SARS-COV-2 active infection or high clinical suspicion, the screening, management and treatment should be following the international guidelines adapted to duration of the stay, available infrastructure, size of the cooperation team and medical resources. Conclusions Humanitarian surgical mission in times of COVID-19 is a challenge that must extrapolate the established recommendations to the local cooperation environment. Supplementary Information The online version contains supplementary material available at (10.1007/s00268-021-06001-x).

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European Hernia Society (EHS) guidance for the management of adult patients with a hernia during the COVID-19 pandemic

Cited by 25 publications

References 33 publications

Emergency high ligation in a suspected COVID-19 pediatric patient with incarcerated inguinal hernia: A case report

Emergency high ligation in a suspected COVID-19 pediatric patient with incarcerated inguinal hernia: A case report

Emergency high ligation in a suspected COVID-19 pediatric patient with incarcerated inguinal hernia: a case report

Humanitarian Surgical Missions in Times of COVID‐19: Recommendations to Safely Return to a Sub‐Saharan Africa Low‐Resource Setting

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