Repercusión de la infección por SARS-CoV-2 en las intervenciones de Cirugía Plástica en Andalucía (España) durante la primera fase de pandemia COVID-19

Q4 Medicine Cirugia Plastica Ibero-Latinoamericana Pub Date : 2021-06-01 DOI:10.4321/s0376-78922021000200006

Alberto Redondo Camacho, Marta Redondo Lavirgen, C. T. Beltrami

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Abstract

Background and objective. Within the context of the 2020 COVID-19 pandemic in our country, the main objective of this study is to determine the incidence of SARS-CoV-2 infections in patients operated on for Plastic Surgery in Units or Services in Andalusia (Spain) in the pre and postoperative times, show if there has been an increase in the incidence of postoperative complications during the pandemic, and if complications related to the virus other than those that occurred in previous periods have been observed. We also analyze the influence of the type of anesthesia, surgical time or type of surgery on the results and the possibility of contagion. Methods. Observational analysis of the behavior and evolution of patients operated on in the Plastic Surgery Units of the hospitals of Seville, Malaga, Cordoba, Granada and Cadiz, between March 9 and April 30, 2020. We collected data related to infection by SARS-CoV-2 of 703 patients, including pre and postoperative PCR and serology results and data related to the surgical procedure, when possible. All registration was carried out in a common anonymized database and analyzed using the SPSS® statistical software. Results. All the cases had a favorable outcome, more than 96% of the patients did not experience any type of complications and when they appeared, they were resolved successfully. No cases of SARS-CoV-2 were diagnosed among them and the duration of the surgeries was not related to a higher incidence of contagion. In addition, none of the types of anesthesia or surgeries were associated with a higher incidence of infection by this virus. Conclusions. Despite the health circumstances in which the surgeries were performed and the absence of protocols in the initial phases, we did not observe infections in the treated patients or complications related to the presence of the virus;the type of anesthesia and the duration of surgery were not significant factors either. These results support that, by complying with the screening protocols for COVID-19, PCR tests and preventive measures of the center, it was safe to perform these surgeries. © 2021 Sociedad Espanola de Cirugia Plastica Reparadora y Estetica (SECPRE). All rights reserved.

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新型冠状病毒大流行第一阶段SARS-CoV-2感染对安达卢西亚（西班牙）整形外科干预的影响

背景和目的。在2020年我国2019冠状病毒病大流行的背景下，本研究的主要目的是确定安达卢西亚(西班牙)整形外科单位或服务中接受手术的患者在术前和术后的SARS-CoV-2感染发生率，显示大流行期间术后并发症发生率是否增加，以及是否观察到除之前发生的并发症外与该病毒相关的并发症。并分析了麻醉方式、手术时间、手术方式等因素对手术结果及传染可能性的影响。方法。2020年3月9日至4月30日在塞维利亚、马拉加、科尔多瓦、格拉纳达和加的斯医院整形外科手术的患者行为和演变的观察分析我们收集了703例患者的SARS-CoV-2感染相关数据，包括术前和术后PCR和血清学结果以及尽可能与手术相关的数据。所有登记均在通用匿名数据库中进行，并使用SPSS®统计软件进行分析。结果。所有病例均有良好的预后，96%以上的患者未出现任何类型的并发症，出现并发症时均成功解决。其中未发现SARS-CoV-2病例，手术时间与感染发生率升高无关。此外，没有任何一种麻醉或手术类型与这种病毒感染的高发生率相关。结论。尽管进行手术时的健康状况和初始阶段缺乏协议，但我们没有观察到治疗患者的感染或与病毒存在相关的并发症;麻醉类型和手术持续时间也不是重要因素。这些结果支持，通过遵守COVID-19筛查方案，PCR检测和中心的预防措施，进行这些手术是安全的。©2021西班牙塑料再生与美容协会(SECPRE)。版权所有。

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来源期刊

Cirugia Plastica Ibero-Latinoamericana Medicine-Surgery

CiteScore

0.20

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： Su área de interés científico abarca todo el amplio campo de la Cirugía Plástica, Estética y Reparadora, Quemados, Microcirugía, Cirugía infantil, Cirugía de la mano, Cirugía de la extremidad inferior, Cirugía máxilofacial, Cirugía craneofacial, Cirugía del cambio de sexo, Trasplante e injertos de grasa, Trasplante y reimplante de miembros, Cirugía de reconstrucción oncológica, Cirugía de las malformaciones congénitas, Cirugía del melanoma. Su contenido se publica en forma de artículos originales, casos clínicos, trabajos experimentales y revisiones bibliográficas. Cuenta también con comentarios de especialistas de prestigio reconocido en el área en aquellos artículos de especial interés y el aliciente añadido de conceder al autor capacidad de respuesta a ese comentario, lo que suscita interesantes diálogos y controversias que ayudan a los lectores a despejar dudas y ampliar conocimientos.