Surgery in COVID-19 times: a multicenter study for generatingguidelines for open and laparoscopic procedures in both urbanand rural North East Indian setting

AUTHORS : Ganguly NN, Deb AK, Islam C, Das JK
DOI No. : 10.31741/ijhrmlp.v6.i2.2020.9

ABSTRACT :
Introduction: Performing surgery during the COVID 19Pandemic has caused a serious headache for the surgeons and surgical team members. Already many surgeons, as well as the team members, are exposed to the virus leading to fear and panic among the surgical fraternity. Many Surgeonssuccumbed to this dreaded viral disease. Many elective and semi-emergency cases are being deferred causing hardship to the patients. In such a scenario generating a universally acceptable standard operative procedures (SOP) for both the rural and urban areas is a necessity. We studied the subject in varied backgrounds and generated a guideline so that surgery can continue safely in both these backgrounds inNorth-East India. Materials and methods: We studied the total number of cases from 01.04.2020 to 16.06.2020 done in both the rural and urban setting and found that there already exist different SOPs in various settings. We collected the guidelines and approach to these hospitals and formulated one guideline, which can be universally applied to hospitals across the region in both the rural and urban settings. Results: We have submitted the results of various hospitals settings and found that the results are encouraging. None of the hospitals reported the spread of COVID 19 during the study period. This encouraged us to generate a numerical checklist for any hospitals doing surgeries during this pandemic.  Conclusion: The SOP thus generated should be able to help in performing surgeries without fear and risk of spread of the disease.
Keywords: COVID 19; Surgery; SOP; OT Safety.


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