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Minimal invasive surgery during COVID-19 pandemic: A review of current and emerging evidence

Authors:

Jayan Dewantha Jayasinghe ,

Royal London Hospital of Barts Health NHS Trust, London, United Kingdom, GB
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Mohamed Adnan Thaha

Royal London Hospital of Barts Health NHS Trust, London, United Kingdom, GB
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Abstract

The COVID-19 pandemic has necessitated restructuring of surgical care globally. Concerns were raised about the continued practice of minimally invasive surgery (MIS) during the pandemic due to risk of viral transmission especially from pneumoperitoneum. As the pandemic progressed, some of the initial recommendations to address this concern were revised and some centres have gradually resumed offering MIS for a select group of patients. This is a commentary on global recommendations and guidelines on laparoscopy since the beginning of the pandemic including eight published guidelines and six original articles. Currently, there is no convincing evidence to support increased risk of viral transmission during minimally invasive compared to open surgery. Laparoscopy is still considered a safe approach during the COVID-19 pandemic when undertaken by experienced surgeons. However, judicious case selection, modification to standard practices with additional safety precautions is universally recommended.

How to Cite: Jayasinghe, J.D. and Thaha, M.A., 2020. Minimal invasive surgery during COVID-19 pandemic: A review of current and emerging evidence. Sri Lanka Journal of Surgery, 38(2), pp.65–68. DOI: http://doi.org/10.4038/sljs.v38i2.8718
Published on 31 Aug 2020.
Peer Reviewed

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