GuidelineSurgical endoscopy2020
ELSA recommendations for minimally invasive surgery during a community spread pandemic: a centered approach in Asia from widespread to recovery phases.
Guideline in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Consistency of global recommendations regarding open versus laparoscopic surgery during the COVID-19 pandemic: a systematic review.ANZ journal of surgery · 2021Pooled it
- Outcomes in COVID-19 patients undergoing laparoscopic cholecystectomy/appendectomy in the pre-vaccine era.Surgery in practice and science · 2023Article
- Carbon footprints in minimally invasive surgery: Good patient outcomes, but costly for the environment.World journal of gastrointestinal surgery · 2023Review
- Variations in clinical course and surgical outcomes of acute appendicitis during COVID-19 Pandemic: a multicenter cohort study.BMC surgery · 2023Article
- Ostomy closure rate during COVID-19 pandemic: an Italian multicentre observational study.Updates in surgery · 2022Observational
- Colorectal cancer surgery in Asia during the COVID-19 pandemic: A tale of 3 cities.Asian journal of surgery · 2022Article
- Comparison of surgical smoke between open surgery and laparoscopic surgery for colorectal disease in the COVID-19 era.Surgical endoscopy · 2022Article
- Control of airborne particles in surgical procedures during the Covid-19 pandemic: scoping review.Revista da Escola de Enfermagem da U S P · 2022Article
- Article
- Acute surgical abdomen during the COVID-19 pandemic: Clinical and therapeutic challenges.Experimental and therapeutic medicine · 2021Article
- Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study.Updates in surgery · 2021Article
- Where Did All the Appendicitis Go? Impact of the COVID-19 Pandemic on Volume, Management, and Outcomes of Acute Appendicitis in a Nationwide, Multicenter Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Strategies for Optimizing the Use of PPE During Surgery in COVID-19 Pandemic: Rapid Scoping Review of Guidelines.The Indian journal of surgery · 2021Article
- Perioperative outcomes of patients undergoing urological elective surgery during the COVID-19 pandemic: a national overview across 28 Italian institutions.Central European journal of urology · 2021Article
- Rapid Scoping Review of Laparoscopic Surgery Guidelines During the COVID-19 Pandemic and Appraisal Using a Simple Quality Appraisal Tool "EMERGE".The Indian journal of surgery · 2020Review
- Laparoscopic Surgery in COVID-19 Era-Safety and Ethical Issues.Diagnostics (Basel, Switzerland) · 2020Review
- Assess, adapt and act: a paediatric surgery division's initial approach in a rapidly evolving pandemic.Pediatric surgery international · 2020Article
- Cholecystectomy during the COVID-19 pandemic: Current evidence and an understanding of the 'new' critical view of safety: Correspondence.International journal of surgery (London, England) · 2020Article
- Recommendations for bariatric and metabolic surgical operations during the COVID-19 pandemic in Turkey.Turkish journal of surgery · 2020Review
- Emergency abdominal surgeries remain unchanged in the COVID-19 affected environment: A single-center experience at a community hospital in Japan.Acute medicine & surgeryArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic has resulted in significant changes to surgical practice across the worlds. Some countries are seeing a tailing down of cases, while others are still having persistent and sustained community spread. These evolving disease patterns call for a customized and dynamic approach to the selection, screening, planning, and for the conduct of surgery for these patients.
methodsThe current literature and various international society guidelines were reviewed and a set of recommendations were drafted. These were circulated to the Governors of the Endoscopic and Laparoscopic Surgeons of Asia (ELSA) for expert comments and discussion. The results of these were compiled and are presented in this paper.
resultsThe recommendations include guidance for selection and screening of patients in times of active community spread, limited community spread, during times of sporadic cases or recovery and the transition between phases. Personal protective equipment requirements are also reviewed for each phase as minimum requirements. Capability management for the re-opening of services is also discussed. The choice between open and laparoscopic surgery is patient based, and the relative advantages of laparoscopic surgery with regard to complications, and respiratory recovery after major surgery has to be weighed against the lack of safety data for laparoscopic surgery in COVID-19 positive patients. We provide recommendations on the operating room set up and conduct of general surgery. If laparoscopic surgery is to be performed, we describe circuit modifications to assist in reducing plume generation and aerosolization.
conclusionThe COVID-19 pandemic requires every surgical unit to have clear guidelines to ensure both patient and staff safety. These guidelines may assist in providing guidance to units developing their own protocols. A judicious approach must be adopted as surgical units look to re-open services as the pandemic evolves.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.