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REVIEW ARTICLE
Year : 2020  |  Volume : 6  |  Issue : 3  |  Page : 163-175

Surgery in Covid 19 Times: A Comprehensive Review


1 Department of Surgery, Maulana Azad Medical College, New Delhi, India
2 Department of Anesthesia, Maulana Azad Medical College, New Delhi, India

Correspondence Address:
Lovenish Bains
Associate Professor, Department of Surgery, Maulana Azad Medical College, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mamcjms.mamcjms_83_20

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The problems faced by surgeons are unique during the Covid pandemic. In the absence of concrete information, we have to resort to extreme degrees of precautions during surgery. Precautions have to start from the point patient enters the hospital, to the point he is discharged. Changes in the patient flow and having sanitization protocols can help in this regard. Since the epidemiology of SARS-Cov 2 is still evolving, the consent process has to necessarily include the risks involved. Preoperative testing is not full proof and the increased risk for the COVID positive patient undergoing surgery has to be communicated. The operating room has to be modified with regard to the number of air changes, an aspect which the surgeons were unaware of prior to this pandemic. Changes in the follow-up protocol, such as use of telemedicine, will help minimize patient contact.


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