Laparoscopic or robotic intraoperative management to minimize aerosol dispersion: Adaptations to the context of the COVID-19 pandemic

Andre Luiz Gioia Morrell; Francisco Tustumi; Alexander Charles Morrell-Junior; Allan Gioia Morrell; Duarte Miguel Ferreira Rodrigues Ribeiro; Paulo Roberto Corsi; Alexander Charles Morrell

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Andre Luiz Gioia Morrell Instituto Morrell, Cirurgia do Aparelho Digestivo Minimamente Invasiva e Robótica - São Paulo - SP - Brasil; Sociedade Beneficente Israelita Brasileira Albert Einstein, Cirurgia Geral e do Aparelho Digestivo Minimamente Invasiva e Robótica - São Paulo - SP - Brasil; Rede D’Or São Luiz, Cirurgia do Aparelho Digestivo e Robótica - São Paulo - SP - Brasil
Francisco Tustumi Universidade de São Paulo (FMUSP), Departamento de Cirurgia - São Paulo - SP - Brasil https://orcid.org/0000-0001-6695-0496
Alexander Charles Morrell-Junior Instituto Morrell, Cirurgia do Aparelho Digestivo Minimamente Invasiva e Robótica - São Paulo - SP - Brasil; Rede D’Or São Luiz, Cirurgia do Aparelho Digestivo e Robótica - São Paulo - SP - Brasil https://orcid.org/0000-0001-9337-2759
Allan Gioia Morrell Instituto Morrell, Cirurgia do Aparelho Digestivo Minimamente Invasiva e Robótica - São Paulo - SP - Brasil; Rede D’Or São Luiz, Cirurgia do Aparelho Digestivo e Robótica - São Paulo - SP - Brasil; Faculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento de Cirurgia - São Paulo - SP - Brasil
Duarte Miguel Ferreira Rodrigues Ribeiro Rede D’Or São Luiz, Cirurgia do Aparelho Digestivo e Robótica - São Paulo - SP - Brasil; Clínica Duarte Miguel Ribeiro, Cirurgia Geral e Ginecologica - São Paulo - SP - Brasil
Paulo Roberto Corsi Faculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento de Cirurgia - São Paulo - SP - Brasil https://orcid.org/0000-0002-5919-946X
Alexander Charles Morrell Instituto Morrell, Cirurgia do Aparelho Digestivo Minimamente Invasiva e Robótica - São Paulo - SP - Brasil; Sociedade Beneficente Israelita Brasileira Albert Einstein, Cirurgia Geral e do Aparelho Digestivo Minimamente Invasiva e Robótica - São Paulo - SP - Brasil; Rede D’Or São Luiz, Cirurgia do Aparelho Digestivo e Robótica - São Paulo - SP - Brasil

Keywords:

Laparoscopy, Aerosol Propellants, Coronavirus, Pandemics, Perioperative Period

Abstract

The coronavirus infection, also known as SARS-COV2, has proven to be potentially fatal, representing a major global health problem. Its spread after its origin in the city of Wuhan, China has resulted in a pandemic with the collapse of the health system in several countries, some with enormous social impact and expressive number of deaths as seen in Italy and Spain. Extreme intra and extra-hospital measures have been implemented to decrease the transmission and dissemination of the COVID-19. Regarding the surgical practice, a huge number of procedures considered non-essential or elective were cancelled and postponed until the pandemic is resolved. However, urgent and oncological procedures have been carried out. In this publication, we highlight and teach adaptations to be made with commonly used materials in laparoscopy to help prevent the spread and contamination of the healthcare team assisting surgical patients.