• Ann Med Surg (Lond) · Sep 2020

    Review

    A scoping review of the impact of COVID-19 pandemic on surgical practice.

    • Amjad Soltany, Mohammed Hamouda, Ansam Ghzawi, Ahmed Sharaqi, Ahmed Negida, Shaimaa Soliman, and Amira Yasmine Benmelouka.
    • Department of Plastic and Reconstructive Surgery, Al Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.
    • Ann Med Surg (Lond). 2020 Sep 1; 57: 24-36.

    BackgroundThe current COVID-19 pandemic has challenged the infrastructure of the healthcare systems. To cope with the pandemic, substantial changes were introduced to surgical practice and education all over the world.MethodsA scoping search in PubMed and Google Scholar was done using the search terms: "Coronavirus," "COVID-19", "SARS-CoV-2", "nCoV-2019", and "surgery." They were either searched individually or in combination. All relevant articles of any study design (published within December 15, 2019, till the mid of June 2020), were included and narratively discussed in this review.ResultsSixty-six articles were reviewed in this article. Through these articles, we provide guidance and recommendations on the preoperative preparation and safety precautions, intraoperative precautions, postoperative precautions, postoperative complications (related to COVID-19), surgical scheduling, emergency surgeries, elective surgeries, cancer surgery, psychological impact on surgical teams, and surgical training during the COVID-19 pandemic.ConclusionCOVID-19 pandemic has affected nearly all aspects of surgical procedures, scheduling, and staffing. Special precautions were taken before, during, or after surgeries. New treatment and teaching modalities emerged in response to the pandemic. Psychological support and training platforms are necessary for the surgical team.© 2020 The Authors.

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