World J Surg Surg Res | Volume 3, Issue 1 | Research Article | Open Access

Infanta Elena University Hospital General and Gastrointestinal Surgery Performed in “COVID-Free” Hospitals during the Sars-Cov-2 Pandemic

Sánchez de Molina Rampérez ML*, Jiménez de los Galanes Marchán SF, Pacheco Martínez PA, Alonso Murillo L, De la Fuente Bartolome MB, García Vasquez C and Sánchez Menam M

Department of General and Digestive Surgery, Division of Endocrine and Breast Surgery, Hospital Universitario Infanta Elena, Spain

*Correspondance to: María Luisa Sánchez de Molina Rampérez, 

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Abstract

During the worldwide pandemic caused by the SARS-CoV-2 virus, the magnitude of which has
exceeded the capacity of our hospitals, we have had to adapt our facilities to provide comprehensive
care for patients with COVID-19. In accordance with guidelines published periodically throughout
the pandemic, general surgeons have had to limit our activity to urgent surgeries and interventions
that cannot be postponed. Furthermore, we have had to adopt extraordinary measures to reduce
the rate of infection among patients and health-care professionals and limit infection-related
postoperative complications, thus prompting us to cancel or delay surgical treatment for all other
diseases. Within this scenario, our institution, Infanta Elena University Hospital, was able to refer
patients scheduled for non-deferrable surgery or interventions to treat cancer to hospitals that were
free of SARS-CoV-2. Over a 4-week period, a select team of surgeons performed endocrine and
colorectal surgery for 5 days, based on the guidelines available at the time and the risk of morbidity
and mortality. An on-call scheme was in place and ward rounds were held until the last patient was
discharged; meanwhile, all other surgeons provided COVID-19 support in the main hospital. All
patients were screened for epidemiologic risk factors. Eight (8) surgical procedures were carried
out in adherence with periodically published recommendations. All patients were free of SARSCoV-
2 infection at discharge and as such presented no added morbidity or mortality resulting from
the pandemic. Current improvements in the epidemiologic situation are allowing us to gradually
resume care delivery in the home institution; given the uncertain development of the pandemic
and in light of our experience, we believe that performing surgery in COVID-free hospitals is a safe
option and one that may be emulated elsewhere.

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Citation:

Sánchez de Molina Rampérez ML, Jiménez de los Galanes Marchán SF, Pacheco Martínez PA, Alonso Murillo L, De la Fuente Bartolome MB, García Vasquez C, et al. Infanta Elena University Hospital General and Gastrointestinal Surgery Performed
in “COVID-Free” Hospitals during the Sars-Cov-2 Pandemic. World J Surg Surgical Res. 2020; 3: 1246..

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