Journal of Gastrointestinal Surgery Resources Related to COVID-19

Redesigning a Department of Surgery during the COVID-19 Pandemic

The COVID-19 pandemic has created unprecedented challenges for surgery departments throughout the country. Swift planning and strong leadership have been required to prepare for this crisis. The challenges are especially dire as no situation in recent memory has had such an impact on healthcare in the USA. We describe our department of surgery preparation for an anticipated COVID-19 surge. The strategies highlighted here address the challenges we faced in operational and clinical restructuring, communication plans, the educational and training mission, and resource management.

What Is the Appropriate Use of Laparoscopy over Open Procedures in the Current COVID-19 Climate?

Among surgeons worldwide, a concern with the use of minimally invasive techniques has been raised due to a proposed risk of viral transmission of the coronavirus disease of 2019 (COVID-19) with the creation of pneumoperitoneum. Due to this proposed concern, we sought to collect the available data and evaluate the use of laparoscopy and the risk of COVID-19 transmission.

Few studies have been performed on viral transmission during surgery, but to date there is no study that demonstrates or can suggest the ability for a virus to be transmitted during surgical treatment whether open or laparoscopic. There is no societal consensus on limiting or restricting laparoscopic or robotic surgery; however, there is expert consensus on the modification of standard practices to minimize any risk of transmission. As such, we recommend making modifications to surgical practice such as the use of smoke evacuation and minimizing energy device use among other measures to minimize operative staff exposure to aerosolized particles.

Read full Review here.

Practical Implications of Novel Coronavirus COVID-19 on Hospital Operations, Board Certification, and Medical Education in Surgery in the USA

To help address current issues faced by surgeons today, the Society for Surgery of the Alimentary Tract (SSAT) hosted a global webinar on April 1, 2020, just as the COVID-19 pandemic was escalating in the USA. After introductory remarks by webinar director Maria Altieri MD, Chair of the SSAT Resident & Fellow Education Committee Motaz Qadan, MD, PhD, and SSAT President Mark Callery, MD, thought leaders in Medicine and Surgery provided much needed clarity, reassurance, and guidance, as well as updates and possible solutions. These points of view are shared here.

Bowel Necrosis in the Setting of COVID-19

As the Coronavirus Disease 2019 (COVID-19) pandemic unfolds, extra-pulmonary manifestations of the disease in critically ill, intubated patients have been observed, including hypercoagulability, acute renal failure, and myocardial injury. This is a case of a COVID-19-positive patient who presented with catastrophic bowel necrosis in the setting of patent mesenteric vessels.