• B De Simone, E Chouillard, S Di Saverio, L Pagani, M Sartelli, W L Biffl, F Coccolini, A Pieri, M Khan, G Borzellino, F C Campanile, L Ansaloni, and F Catena.
• Centre Hospitalier Intercommunal Poissy/Saint-Germain-en-Laye, France.
• Ann R Coll Surg Engl. 2020 May 1; 102 (5): 323-332.

IntroductionSeveral articles have been published about the reorganisation of surgical activity during the COVID-19 pandemic but few, if any, have focused on the impact that this has had on emergency and trauma surgery. Our aim was to review the most current data on COVID-19 to provide essential suggestions on how to manage the acute abdomen during the pandemic.MethodsA systematic review was conducted of the most relevant English language articles on COVID-19 and surgery published between 15 December 2019 and 30 March 2020.FindingsAccess to the operating theatre is almost exclusively restricted to emergencies and oncological procedures. The use of laparoscopy in COVID-19 positive patients should be cautiously considered. The main risk lies in the presence of the virus in the pneumoperitoneum: the aerosol released in the operating theatre could contaminate both staff and the environment.ConclusionsDuring the COVID-19 pandemic, all efforts should be deployed in order to evaluate the feasibility of postponing surgery until the patient is no longer considered potentially infectious or at risk of perioperative complications. If surgery is deemed necessary, the emergency surgeon must minimise the risk of exposure to the virus by involving a minimal number of healthcare staff and shortening the occupation of the operating theatre. In case of a lack of security measures to enable safe laparoscopy, open surgery should be considered.

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