key: cord-0792329-34y9q5if
authors: Di Saverio, S.; Pata, F.; Khan, M.; Ietto, G.; Zani, E.; Carcano, G.
title: Convert to open: the new paradigm for surgery during COVID‐19?
date: 2020-05-05
journal: Br J Surg
DOI: 10.1002/bjs.11662
sha: 2e9e713b03f68c5a9d5b40292c181041d4c6cfe6
doc_id: 792329
cord_uid: 34y9q5if

nan

tions on how to safely scrub and the use of protective measures/equipment have been described elsewhere 8 . Patients with imaging-proven (CT or ultrasonography) inflamed appendix should be distinguished from those with no evidence of perforation appendicitis (NPA) who would be better managed with initial non-operative management (NOM) and antibiotics, and those with perforated appendicitis, who mandate open operative intervention by described techniques.

In patients with peritonitis or colonic pathology requiring operative intervention, exploratory laparotomy is the access of choice. We all know that an exploratory laparotomy can be performed without any use of cautery and, therefore, avoiding production of smoke. These skills are no doubt vital given the current climate of uncertainty and the theoretical transmission potential. 

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Elective surgery after the pandemic: waves beyond the horizon

Safe management of surgical smoke in the age of COVID-19

Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy

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Intercollegiate General Surgery Guidance on COVID-19 UPDATE

Coronavirus pandemic and colorectal surgery: practical advice based on the Italian experience