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European Journal of Trauma and Emergency Surgery

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01-08-2020 | Coronavirus | Original Article

Enhancing safety of laparoscopic surgery in COVID-19 era: clinical experience with low-cost filtration devices

Authors: Mauro Zago, Selman Uranues, Marco Enoc Chiarelli, Samuele Grandi, Luca Andrea Fumagalli, Mario Tavola, Massimo Chiarugi, Diego Mariani, Valerie Wienerroither, Hayato Kurihara, Abe Fingerhut

Published in: European Journal of Trauma and Emergency Surgery | Issue 4/2020

Abstract

Background

Surgery in the era of the current COVID-19 pandemic has been curtailed and restricted to emergency and certain oncological indications, and requires special attention concerning the safety of patients and health care personnel. Desufflation during or after laparoscopic surgery has been reported to entail a potential risk of contamination from 2019-nCoV through the aerosol generated during dissection and/or use of energy-driven devices. In order to protect the operating room staff, it is vital to filter the released aerosol.

Methods

The assemblage of two easily available and low-cost filter systems to prevent potential dissemination of Coronavirus via the aerosol is described.

Results

Forty-nine patients underwent laparoscopic surgeries with the use of one of the two described tools, both of which proved to be effective in smoke evacuation, without affecting laparoscopic visualization.

Conclusion

The proposed systems are cost-effective, easily assembled and reproducible, and provide complete viral filtration during intra- and postoperative release of CO_2.

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Title: Enhancing safety of laparoscopic surgery in COVID-19 era: clinical experience with low-cost filtration devices
Authors: Mauro Zago
Selman Uranues
Marco Enoc Chiarelli
Samuele Grandi
Luca Andrea Fumagalli
Mario Tavola
Massimo Chiarugi
Diego Mariani
Valerie Wienerroither
Hayato Kurihara
Abe Fingerhut
Publication date: 01-08-2020
Publisher: Springer Berlin Heidelberg
Keywords: Coronavirus
Laparoscopy
Smoking and Nicotine Detoxification
COVID-19
Appendectomy
Published in: European Journal of Trauma and Emergency Surgery / Issue 4/2020
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-020-01413-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Enhancing safety of laparoscopic surgery in COVID-19 era: clinical experience with low-cost filtration devices

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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