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EAES Recommendations for surgeons during the COVID19 Pandemic - our commitment as global organization
EAES Academy. Dr. Andrea Pietrabissa and Dr. Salvador Morales Conde . 04/22/20; 293179
Dr. Andrea Pietrabissa and Dr. Salvador Morales Conde
  Dr. Andrea Pietrabissa and Dr. Salvador Morales Conde
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This Open-Access webinar (no login required) took place on April 22nd, 2020 18:00 - 19:00 CEST (GMT: 4PM - 5PM) and is now available for On-Demand access with slide navigation.

Commitment, global unity and shared experience - these are the key factors for success in defeating this pandemic. Surgeons are also important part of this strategy. In order to fight together, it is necessary to know the basic aspects that affect our practices.

Dr. Salvador Morales Conde
Chief of the Unit of Innovation in Miniamlly Invasive Surgery. University Hospital Virgen del Rocio (Sevilla, Spain)
Head of the Surgery. Hospoital Quironsalud Sagrado Corazon (Sevilla, Spain) 





Prof. Andrea Pietrabissa, MD, FACS.
Professor of Surgery. Director,Chirurgia Generale Seconda. Department of Surgery. University of Pavia – Italy
Summary:  COVID-19 Webinar: EAES recommendations for surgeons during the COVID19 Pandemic - our commitment as a global organization
Hans-Christian Zaun, Ph.D.
Scientific Advisor, MultiLearning Group.


This COVID-19 outbreak Seminar focused on recommendations for surgeons during the COVID-19 pandemic. The co-chairs of the webinar were Prof. Andrea Pietrabissa of the University of Pavia, Italy and President of the EAES., Prof. Nadel Francis from Yeovil District Hospital, UK, and Prof. Alberto Arezzo of the University of Torino, Italy. The webinar was presented by Prof. Salvador Morales of the University Hospital Virgen del Rocio and Hospoital Quironsalud Sagrado Corazon, Sevilla, Spain, and President-Elect of the EAES. 

Following an introduction by Prof. Pietrabissa, Dr. Morales discussed the best evidence and recommendations for surgeons during the COVID-19 pandemic as compiled by EAES and numerous other organizations, including Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the Spanish Society of Surgery (AEC).

Dr. Morales began with a brief overview of the pandemic, beginning with the first known case in Wuhan, China, in November of 2019, it’s rapid spread through Europe and the rest of the globe through the early months of 2020, as well as the current situation. 

The first recommendation dealt with the need for surgeons and hospital staff to understand what their situation is regarding the admission of COVID-19 patients. He recommended establishing a scale from I to V, depending on the percent of COVID-19 patients, impact on resources and surgical activity. This scale included recommendations for the triage and testing incoming patients, as well as what surgeries should be allowed to continue or postponed. Dr. Morales emphasized that these recommendations also cover how to return to normal once the pandemic begins to subside.

He continued by discussing the importance of testing and contact tracing of admitted patients as well as the various tests used to confirm whether patients have COVID-19, including symptomatic screening, RT-PCR, CT-scans and ultrasound. Furthermore, he reviewed the advantages and disadvantages of each test under different circumstances.

Dr. Morales continued his presentation with guidelines for surgeons dealing with general perioperative management, oncological patients, as well as emergency surgery. In particular, he discussed the possibility of contamination by surgical smoke. However, to date, there is no evidence that viruses spread through a surgical plume. However, he emphasized evidence for SARS-CoV2 is limited, so care must be taken.

Regarding recommendations on the use of personal protective equipment (PPE), the webinar contained both a checklist and a video on proper use for all surgeons to utilize.

After numerous questions from the audience, the webinar concluded with Dr. Francis presenting his take on the situation in the UK and the dilemma of deciding when to restart surgical procedures. He stressed that surgeons be aware of the benefits and risks of surgery and discuss options with patients.
Summary:  COVID-19 Webinar: EAES recommendations for surgeons during the COVID19 Pandemic - our commitment as a global organization
Hans-Christian Zaun, Ph.D.
Scientific Advisor, MultiLearning Group.


This COVID-19 outbreak Seminar focused on recommendations for surgeons during the COVID-19 pandemic. The co-chairs of the webinar were Prof. Andrea Pietrabissa of the University of Pavia, Italy and President of the EAES., Prof. Nadel Francis from Yeovil District Hospital, UK, and Prof. Alberto Arezzo of the University of Torino, Italy. The webinar was presented by Prof. Salvador Morales of the University Hospital Virgen del Rocio and Hospoital Quironsalud Sagrado Corazon, Sevilla, Spain, and President-Elect of the EAES. 

Following an introduction by Prof. Pietrabissa, Dr. Morales discussed the best evidence and recommendations for surgeons during the COVID-19 pandemic as compiled by EAES and numerous other organizations, including Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the Spanish Society of Surgery (AEC).

Dr. Morales began with a brief overview of the pandemic, beginning with the first known case in Wuhan, China, in November of 2019, it’s rapid spread through Europe and the rest of the globe through the early months of 2020, as well as the current situation. 

The first recommendation dealt with the need for surgeons and hospital staff to understand what their situation is regarding the admission of COVID-19 patients. He recommended establishing a scale from I to V, depending on the percent of COVID-19 patients, impact on resources and surgical activity. This scale included recommendations for the triage and testing incoming patients, as well as what surgeries should be allowed to continue or postponed. Dr. Morales emphasized that these recommendations also cover how to return to normal once the pandemic begins to subside.

He continued by discussing the importance of testing and contact tracing of admitted patients as well as the various tests used to confirm whether patients have COVID-19, including symptomatic screening, RT-PCR, CT-scans and ultrasound. Furthermore, he reviewed the advantages and disadvantages of each test under different circumstances.

Dr. Morales continued his presentation with guidelines for surgeons dealing with general perioperative management, oncological patients, as well as emergency surgery. In particular, he discussed the possibility of contamination by surgical smoke. However, to date, there is no evidence that viruses spread through a surgical plume. However, he emphasized evidence for SARS-CoV2 is limited, so care must be taken.

Regarding recommendations on the use of personal protective equipment (PPE), the webinar contained both a checklist and a video on proper use for all surgeons to utilize.

After numerous questions from the audience, the webinar concluded with Dr. Francis presenting his take on the situation in the UK and the dilemma of deciding when to restart surgical procedures. He stressed that surgeons be aware of the benefits and risks of surgery and discuss options with patients.
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