Therapeutic challenges in colorectal surgery practice during COVID-19 outbreak: a case series

IF 2.7 Q3 ONCOLOGY Colorectal Cancer Pub Date : 2020-06-01 DOI:10.2217/crc-2020-0014
M. Alemrajabi, M. Moradi, E. Amiri, Masoud Vahdani
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Abstract

After the outbreak of COVID-19, several issues in the field of general surgery have remained unknown. Here we present two consecutive patients operated on in a coronavirus center in February 2020, during the outbreak in Tehran, Iran. Moreover, we highlight some challenges surgeons face in the management of these patients during the outbreak. We suggest surgeons to perform the safest technique with the least risk. In borderline conditions, it is suggested to prefer stoma over anastomosis. This lessens the course of hospitalization and probable complication rates. We suggest establishing clean centers and prepare guidelines for the general surgery team members to lessen the risk for patients and healthcare providers.
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COVID-19爆发期间结直肠手术实践中的治疗挑战:病例系列
新冠肺炎疫情爆发后,普外科领域的几个问题仍然是未知的。在这里,我们展示了2020年2月在伊朗德黑兰爆发疫情期间,在冠状病毒中心连续接受手术的两名患者。此外,我们强调了外科医生在疫情期间管理这些患者时面临的一些挑战。我们建议外科医生采用风险最小、最安全的技术。在边缘条件下,建议首选造口而不是吻合。这减少了住院时间和可能的并发症发生率。我们建议建立清洁中心,并为普外科团队成员准备指南,以减少患者和医疗保健提供者的风险。
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Colorectal Cancer
Colorectal Cancer ONCOLOGY-
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期刊介绍: Colorectal cancer is a major cause of morbidity and mortality, particularly in the developed world. Risk factors for colorectal cancer are on the rise in many countries; populations are aging, and obesity and diabetes are increasing. National screening programs are helping to detect cancer while it is still curable; however, colorectal cancer remains the third leading cause of cancer deaths in the USA and options are still limited for those with more advanced disease. Consequently, colorectal cancer is a major research priority for government, pharmaceutical companies and non-profit organizations. Research into diagnosis and optimum treatment of the disease is progressing rapidly, with new advances reported every day. Colorectal Cancer presents reviews, analysis and commentary. on all aspects of colorectal cancer.
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