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REVIEW ARTICLE
Year : 2020  |  Volume : 15  |  Issue : 1  |  Page : 153-155

Minimally access surgery and endoscopic procedures in COVID-19 pandemic


Department of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

Correspondence Address:
Dr. Harshal Tayade
Plot No. 29 “Bhagya-Harsh”, Dr. Sushila Nayar Nagar, Ward No. 4, Warud, Wardha - 442 102, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_139_20

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The growing spread of COVID-19 pandemic has caused unprecedented changes in how health systems and health institutes deal with patients and health care. More attention is focused on containing the outbreak and avoids further infection and transmission. Hospitals have attained a wartime atmosphere in hotspot areas and health-care workers including surgical team have been deployed to take care of this respiratory illness. Rationing of services has however affected the management of non-COVID disorders and people are suffering unduly due to restricted access to care and lack of quality care. Hospitals are overwhelmed, bed availability, and availability of health-care personnel is compromised leading to restrictions on performing routine procedures especially if they are of surgical variety. However, some emergent conditions need immediate attention, failing which the disease may get aggravated, duration of illness will get prolonged and patient may land into a life-threatening condition increasing associated morbidity and mortality. With the advantage of minimum direct contact with body tissue and rapid postoperative recovery, minimal access surgeries greatly reduce hospital stay therefore reducing the risk of infection. Endoscopic procedures can aid in settling down acute illness following which definitive surgery can be planned later. This brief addresses the issues, concerns, and recommendations for minimal access surgery and role of endoscopy in ameliorating emergent and semi-emergent surgical conditions in the present pandemic situation.


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