Plastic Surgery and the COVID-19 Pandemic

Öztürk, Cemile Nurdan; Kuruoglu, Doga; Öztürk, Can; Rampazzo, Antonio; Gürünlüoğlu, Raffi

doi:10.1097/sap.0000000000002443

Cited by 44 publications

(59 citation statements)

References 47 publications

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“…Several other articles have been published on the necessary reorganization of surgical departments during the COVID-19 pandemic and the decline in surgical activity resulting from the medical measures implemented in response to this pandemic 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 . However, none of them has precisely evaluated the decline in trauma cases, and especially in maxillofacial trauma cases.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study

Boutray

Kün‐Darbois

Sigaux

et al. 2021

International Journal of Oral and Maxillofacial Surgery

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The coronavirus disease 2019 (COVID-19) outbreak has had a major impact on medical and surgical activities. A decline in facial trauma incidence was noticed during the lockdown period. The aim of this study was to evaluate the decline in maxillofacial trauma in France during this particular period. A retrospective multicentre comparative study was initiated in 13 major French public hospital centres. The incidence of facial trauma requiring surgery during the first month of lockdown was compared to that during equivalent periods in 2018 and 2019. Differences in the types of trauma were also analysed. Thirteen maxillofacial departments participated in the study. A significant decline in maxillofacial trauma volumes was observed when compared to equivalent periods in 2018 and 2019 (106 patients compared to 318 and 296 patients, respectively), with an average reduction of 65.5% ( P = 0.00087). The proportion of trauma due to sports and leisure was reduced when compared to reports in the literature. As a consequence, in the context of a pandemic, the material and human resources related to this activity could be reallocated to the management of other pathologies that cannot be postponed.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study

Boutray

Kün‐Darbois

Sigaux

et al. 2021

International Journal of Oral and Maxillofacial Surgery

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“…Whilst the study has demonstrated that the risk of COVID-19 is low following cancer surgery, it is important to highlight the need for a thorough, individualised multi-disciplinary decision on the timing of surgery. [ 16 ] The risks and benefits of each procedure should be carefully weighed against the potential further spread of COVID-19 and the need to utilise our resources in the most effective manner [ 25 ]. This will require flexibility at a regional level, given each centre’s available resources and the current prevalence of COVID-19 in the local area [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Is Elective Cancer Surgery Safe During the COVID‐19 Pandemic?

Singh

Luther

et al. 2020

World j. surg.

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Background The COVID-19 pandemic has resulted in a significant decrease in the number of elective cancer operations performed. Cancer patients are felt to be a high-risk group for COVID-19, and therefore, concerns have been raised regarding the safety of operating during this time; however, the potential risk of cancer progression if untreated must also be considered. The aim of this study was therefore to identify the incidence of COVID-19 postoperatively in patients undergoing elective cancer surgery of all types. Methods Data were collected on all patients who had an elective therapeutic cancer operation in a single large district general hospital, where standard COVID-19 precautions were in place, between 01/02/2020 and 27/4/2020, Follow-up was for a minimum of 2 weeks post-discharge. The primary outcome was the incidence of COVID-19 during the follow-up period. Results A total of 621 elective cancer surgeries, from a range of specialities, were performed during the study period, with 55% (n = 341) being done as day cases. None of the patients were positive for COVID-19 post-operatively using reverse transcriptase polymerase chain reaction testing. Conclusions The risk of COVID-19 following elective cancer surgery in this group of high-risk patients appears to be minimal in this study. With further precautions being introduced to reduce the risk of transmission of COVID-19, an increase in the rate of elective cancer surgery should be a current priority for all hospitals where possible.

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“…Plastic surgeons must be apprised of the most current state and society guidelines on the status of elective procedures and be amenable to adapt in the event of a second COVID-19 surge. 6 …”

Section: Introductionmentioning

confidence: 99%

A Summary of Recommendations for Plastic Surgeons during the Coronavirus Disease 2019 Outbreak

Schoenbrunner

Sarac

Janis

2020

Plastic and Reconstructive Surgery - Global Open

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Background: The coronavirus disease 2019 outbreak presents unique challenges to the healthcare system. The lack of unified guidelines on what constitutes elective surgery left plastic surgeons without a clear framework to guide their practices. More urgently, the ambiguity in defining elective surgery leaves plastic surgeons without clear guidance as states begin to phase in these procedures. Methods: Recommendations issued by state governing bodies as of April 28, 2020, were reviewed. National society and federal guidelines pertaining to postponement and resumption of elective surgeries affected by the coronavirus disease 2019 outbreak were also reviewed. Recommendations based on the above are collated for plastic surgeons. Results: Thirty-six states and the District of Columbia provide recommendations regarding elective surgery. Cosmetic surgery is considered an elective surgery and should be postponed; this may be among the first elective surgeries to safely resume. Societal guidelines provide disease-specific recommendations for cancer-related surgery and breast reconstruction. Trauma, other cancer-related reconstruction, and hand surgeries are considered nonelective if postponement threatens life or limb or if a patient is highly symptomatic. Postponement and resumption of oncology, trauma, and hand surgery cases depend on disease stage and complexity of reconstruction. Pediatric craniofacial surgery presents unique challenges due to the time-sensitive nature of the interventions. Conclusions: Guidance on elective surgery is vague for plastic surgeons. Government recommendations and societal guidelines provide a framework for plastic surgeons to assess the elective nature of a surgical intervention and safety of resumption; however, a nuanced assessment must be made on local disease transmission, supply availability, and hospital capacity.

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Plastic Surgery and the COVID-19 Pandemic

Cited by 44 publications

References 47 publications

Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study

Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study

Is Elective Cancer Surgery Safe During the COVID‐19 Pandemic?

A Summary of Recommendations for Plastic Surgeons during the Coronavirus Disease 2019 Outbreak

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