key: cord-0742251-4cmgdbso authors: Ataullah, A.H.M.; Rahman, Sabrina; Ridoy, Md Nazmul Huda; Turaeva, Nilyufar; Lozada-Martinez, Ivan David; Moscote-Salazar, Luis Rafael; Rahman, Md Moshiur title: Impact on surgical wards in COVID-19 pandemic & safe surgery date: 2021-02-12 journal: International journal of surgery open DOI: 10.1016/j.ijso.2021.02.002 sha: ddc6d47f0c7c4d345d57d4992e065d5be0a95483 doc_id: 742251 cord_uid: 4cmgdbso nan The pandemic due to the new coronavirus disease 2019 (COVID-19) impacts on surgical wards. Many health care professionals and patients become COVID-19 positive from the surgical ward and operation theatre transmission [1] . Direct surface contact, aerosol or droplet, fomites (intraoperative generated), electrosurgical smoke (e.g., diathermy), open suctioning, and pressured cavity opening are considered high risk for COVID-19 [2] . SARS-CoV-2 virus detected from nasopharyngeal, sputum sampling. Recently viral RNA was seen from a stool sample, and fecal-oral transmission is assumed [3] . Healthcare staff does not always have the requisite expertise and context to deal with COVID-19 properly. Some surgical residents have been transferred from the operating rooms to the COVID-19 pandemic frontline operating teams, while other senior residents have been allowed to voluntarily cover consultant roles temporarily [4] . It is important to consider that residents were substantially more interested in the activities of COVID-19 in general surgery than residents belonging to other specialties. Guidelines have quickly developed for safe surgical treatment during the pandemic, driven by differential requirements based on the condition of a patient. High-quality information is needed to provide immediate surgical safety guidance. There has been debate about the safety of laparoscopic surgery in COVID-19 patients, given the concern that aerosolized particles and smoke could potentially increase the risk of exposure of those in the operating room to venting or evacuation [5] . For a safe return to routine surgical treatment, long-term recommendations for pre-operative COVID-19 screening are necessary. To prepare operating room teams for the next pandemic, the latest COVID-19 response demonstrates the need for ongoing reviews of surgical team preparations, organization, communication, and infection management. The pandemic effects on the surgery are profound, potentially long-lasting, and substantial, based on the available reports and changing real-time knowledge. The studies previously [5, 6] described included views, anecdotal reports, and guidelines about surgery and perioperative treatment. According to a report of adverse effects and fatal outcomes of COVID-19 contracting after ambulatory and elective surgery are of concern [7] . A strong suspicion should be maintained for the surgical workforce operating onwards with non-infected patients and social distancing principles applied by patients and staff should be maintained [8] . Surgery is an integral part of medical care; for safe surgery following recommendations should be followed: [9,10]. Pandemics may again be pursued worldwide in the future, it is important to advocate for the insertion of unique intensive care tasks in surgical residence. Hospitals should prepare comprehensive context-specific pandemic preparedness plans for surgical facilities to mount an efficient reaction to the COVID-19 pandemic. As the COVID-19 pandemic advances, detailed guidelines should be revised continuously to reflect evolving facts. Not Commissioned, internally reviewed. Data sharing is not applicable here as no new data were created or analysed in this study. Not applicable for this type of manuscripts. International Journal of Surgery Open Risk of SARS-CoV-2 transmission by aerosols, the rational use of masks, and protection of healthcare workers from COVID-19 COVID-19: what are the challenges for NHS surgery? Evidence for gastrointestinal infection of SARS-CoV-2 Medici per Covid -La Protezione Civile has published the band for 300 medici volontari Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy COVID-19 pandemic: perspectives on an unfolding crisis COVID-19 infection: implications for perioperative and critical care physicians Recommendations for general surgery activities in a pandemic scenario (SARS-CoV-2) Surgery in times of COVID-19-recommendations for hospital and patient management International guidelines and recommendations for surgery during Covid-19 pandemic: a Systematic Review None. None. All authors equally contributed to the writing and analysis of the manuscript. The authors declare no conflicts of interest. Md Moshiur Rahman. 1. Name of the registry: Not applicable. 2. Unique Identifying number or registration ID: Not applicable. 3. Hyperlink to your specific registration (must be publicly accessible and will be checked): Not applicable.