Page 51 - World Journal of Laparoscopic Surgery

Laparoscopic Surgery in COVID-19 Era
Table 1: Clinical parameters, preoperative, and postoperative findings positive on RT-PCR testing. The findings in X-ray of these patients
Number (Percentage) can be linked to otherwise known complications of minimal
of patients invasive surgery in the early postoperative period. Only 1 patient
underwent surgery was found positive for SARS-CoV-2 infection after discharge from
Clinical parameters and findings (N = 287) the hospital. There was no mortality recorded during this period.
The rate of transmission among operating surgeons, anesthesia
Mean age (years) 43.56
team, OT staff, and other hospital staff was almost negligible
Gender when all recommendations were duly followed. Precautions in
Male 114 (39.72%) form of patient screening, testing, and use of PPE kits, N95 masks
Female 173 (60.28%) along with the use of low-cost smoke filtration devices helped us
Surgery performed not to get infected and safely performed elective laparoscopic
20–22
Laparoscopic cholecystectomy 194 (67.59%) procedures. Use of PPE kits and RT-PCR tests for all cases has
Laparoscopic appendectomy (Interval) 41 (14.28%) increased the cost of surgery, and it’s an extra monetary burden
22
Laparoscopic hernia repair on patients. Patient’s overall safety is the major concern while
Ventral 12 (4.18%) performing elective surgeries in this pandemic. All necessary
Inguinal 14 (4.87%) precautions and screening helped in treating the patients who were
Diagnostic laparoscopy 10 (3.48%) simply ignored due to the global spread of this horrible disease.
Laparoscopic orchiectomy 1 (0.34%) COVID-19 pandemic emerged as a global crisis. Elective surgeries
Laparoscopic ovarian cystectomy 6 (2.09%) should not be neglected. Ensuring safe and cost-effective surgery
is a real challenge. Minimal invasive surgery for elective cases
Laparoscopic salpingectomy 4 (1.3%) can be safely performed by taking adequate precautions like PPE
Total laparoscopic hysterectomy 5 (1.7%)
and a low-cost smoke evacuation device. There is no evidence of
Preoperative findings transmission of infection by surgical smoke.
SARS-CoV-2 detected with symptoms 3 (1.04%)
SARS-CoV-2 detected (asymptomatic) 5 (1.7%) AcknowledgMents
Average duration from detection of 34.46
SARS-CoV-2 infection to surgery (days) The protocol for the study was approved by the Ethical Committee
of the institute. Since this is an observational study, human subjects
Postoperative findings were not directly involved. This research did not receive any specific
Fever(>100°F) 14 (4.87%) grant from funding agencies in the public, commercial, or not-for-
Cough 9 (3.13%) profit sectors.
Dry 4 (1.39%)
With expectoration 17 (5.92%) orcId
Sore throat 4 (1.39%)
Breathing difficulty 11 (3.83%) Apoorv Goel https://orcid.org/0000-0002-9359-2791
Fall in O saturation level <90% 11 (3.83%)
2
Requirement of O 2 0 references
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World Journal of Laparoscopic Surgery, Volume 15 Issue 2 (May–August 2022) 147