Portal de Periódicos da CAPES

[Emergency surgery during COVID-19 pandemia.]

2020; SciELO; Volume: 73; Issue: 5 Linguagem: Inglês

1576-8260

Ignacio Puche‐Sanz, Almudena Sabio-Bonilla, Victor Sánchez-Conde, Ana Cristina Jiménez-Domínguez, Alba Tamayo-Gómez, Pedro Vila-Braña, Fernando Vázquez‐Alonso, Juan Gómez Rivas, Enrique Gómez‐Gómez, Félix Campos‐Juanatey, Jorge García-Olaverri Rodríguez, José Francisco Flores-Martín, J. Moreno-Jiménez, J.M. Cózar-Olmo,

COVID-19 and healthcare impacts

Introduction The crisis in the SARSCoV-2 coronavirus causing COVID-19 is putting health systems around the world to the test. In a great effort to standardize the management and treatment guidelines, the different health authorities and scientific associations have tried to issue recommendations on how to act in this new and complex scenario. OBJECTIVE: To synthesize the existing evidence and recommendations about urological during the COVID-19 pandemic situation. Furthermore, we propose a general action protocol for these patients. Material and methods The document is based ont he scarce evidence on SARS / Cov-2 and the experience of the authors in the management of COVID-19 in their institutions, including specialists from Andalusia, Cantabria, Madrid and the Basque Country. A web and PubMed search was performed using the keywords SARS-CoV-2, COVID19, COVID Urology, COVID19 surgery and emergency care. A narrative review of the literature was carried out until April 30, 2020, including only articles and documents written in Spanish and English. After the nominal group technique modified due to the extraordinary restrictions, a first draft was made to unify criteria. Finally, a definitive version was made, agreed by all the authors on May 12, 2020. Results General principles of action are set out, as well as specific recommendations for the most frequent urgent urological procedures. Conclusions Given the exceptional nature of the situation, there is a lack of evidence regarding the optimal management of the patient with urgent urological pathology. The information is changing, as the epidemiological knowledge of the disease advances. The establishment of multidisciplinary surgical committees that develop and implement action protocols appropriate to the different resources and particular situations of each center is recommended. Likewise, these committees must individually assess each possible urological surgical situation and ensure compliance with protective measures for the patient and other healthcare personnel.