• Silvia Bernuth, Raymund E Horch, Adrian Vater, Konrad Fuchs, Michael G Jakubietz, Karsten Schmidt, Rainer H Meffert, and Rafael G Jakubietz.
• Universitätsklinikum Würzburg, Chirurgische Klinik 2, Plastische Chirurgie.
• Handchir Mikrochir Plast Chir. 2020 Aug 1; 52 (4): 272-279.

BackgroundTo manage the expected COVID-19 patient load major restrictions in in- and outpatient treatment had to be made. Depending on local conditions and order supply differences SARS-CoV-2 restrictions had a massive impact on medical care. To show the impact of plastic surgery on emergency surgery during SARS-CoV-2 pandemic, the amount of surgical emergencies in a single center plastic surgery division were evaluated.MethodThe number of plastic surgery cases in a university hospital was evaluated during 16.03.2020 to 27.04.2020 and compared with previous years.ResultsDue to cancelling of elective surgery the number of cases dropped to 57,3 % of the caseload of previous years. There was no change in ratio of emergency (2020: 56,4 %; 2017-2019: 54,9 %) and urgent (2020: 44,6 %; 2017-2019: 45 %) surgery. No changes in regard to the etiology of trauma cause nor insurance status (occupational insurance/health insurance) were noted.ConclusionBased on the data of this evaluation there is a clear relevance of Plastic Surgery in the setting of general medical care. Even during the pandemic crises a sufficient plastic surgery service is mandatory in a tertiary referral center.© Georg Thieme Verlag KG Stuttgart · New York.

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