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Ashique S, Mishra N, Mohanto S, Garg A, Taghizadeh-Hesary F, Gowda BJ, Chellappan DK. Application of artificial intelligence (AI) to control COVID-19 pandemic: Current status and future prospects. Heliyon 2024; 10:e25754. [PMID: 38370192 PMCID: PMC10869876 DOI: 10.1016/j.heliyon.2024.e25754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Revised: 01/25/2024] [Accepted: 02/01/2024] [Indexed: 02/20/2024] Open
Abstract
The impact of the coronavirus disease 2019 (COVID-19) pandemic on the everyday livelihood of people has been monumental and unparalleled. Although the pandemic has vastly affected the global healthcare system, it has also been a platform to promote and develop pioneering applications based on autonomic artificial intelligence (AI) technology with therapeutic significance in combating the pandemic. Artificial intelligence has successfully demonstrated that it can reduce the probability of human-to-human infectivity of the virus through evaluation, analysis, and triangulation of existing data on the infectivity and spread of the virus. This review talks about the applications and significance of modern robotic and automated systems that may assist in spreading a pandemic. In addition, this study discusses intelligent wearable devices and how they could be helpful throughout the COVID-19 pandemic.
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Affiliation(s)
- Sumel Ashique
- Department of Pharmaceutical Sciences, Bengal College of Pharmaceutical Sciences & Research, Durgapur, 713212, West Bengal, India
| | - Neeraj Mishra
- Department of Pharmaceutics, Amity Institute of Pharmacy, Amity University, Gwalior, 474005, Madhya Pradesh, India
| | - Sourav Mohanto
- Department of Pharmaceutics, Yenepoya Pharmacy College & Research Centre, Yenepoya (Deemed to be University), Mangalore, Karnataka, 575018, India
| | - Ashish Garg
- Guru Ramdas Khalsa Institute of Science and Technology, Pharmacy, Jabalpur, M.P, 483001, India
| | - Farzad Taghizadeh-Hesary
- ENT and Head and Neck Research Center and Department, The Five Senses Health Institute, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
- Clinical Oncology Department, Iran University of Medical Sciences, Tehran, Iran
| | - B.H. Jaswanth Gowda
- Department of Pharmaceutics, Yenepoya Pharmacy College & Research Centre, Yenepoya (Deemed to be University), Mangalore, Karnataka, 575018, India
- School of Pharmacy, Queen's University Belfast, Medical Biology Centre, Belfast, BT9 7BL, UK
| | - Dinesh Kumar Chellappan
- Department of Life Sciences, School of Pharmacy, International Medical University, Bukit Jalil, Kuala Lumpur, 57000, Malaysia
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Ebihara Y, Hirano S, Kurashima Y, Takano H, Okamura K, Murakami S, Shichinohe T, Morohashi H, Oki E, Hakamada K, Ikeda N, Mori M. Tele-robotic distal gastrectomy with lymph node dissection on a cadaver. Asian J Endosc Surg 2024; 17:e13246. [PMID: 37727067 DOI: 10.1111/ases.13246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Accepted: 09/05/2023] [Indexed: 09/21/2023]
Abstract
The purpose of this study is to evaluate the performance of tele-robotic distal gastrectomy (tele-RDG) with lymph node dissection (LND) using a novel Japanese-made surgical robot hinotori™ (Medicaroid, Kobe, Japan) in a cadaver with a presumptive gastric cancer. The Cadaveric Anatomy and Surgical Training Laboratory (CAST-Lab.) at Hokkaido University and Kushiro City General Hospital (KCGH) are connected by a guaranteed type line (1 Gbps), and the distance between the two facilities is 250 km. A patient cart was installed at CAST-Lab, and a surgeon cockpit was installed at KCGH. Tele-RDG with D2 LND was performed on an adult human cadaver. In all surgical processes, the communication environment was stable without image degradation, and the mean round trip time was 40 milliseconds (36.5-55 milliseconds). For tele-RDG with D2 LND, the operation time was 199 minutes without any technical problems. Tele-RDG using hinotori™ was feasible and similar to local robotic RDG.
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Affiliation(s)
- Yuma Ebihara
- Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan
- Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan
| | - Satoshi Hirano
- Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan
- Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan
| | - Yo Kurashima
- Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan
| | - Hironobu Takano
- Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan
| | - Kunishige Okamura
- Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan
| | - Soichi Murakami
- Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan
- Center for Education Research and Innovation of Advanced Medical Technology, Hokkaido University Hospital, Sapporo, Japan
| | - Toshiaki Shichinohe
- Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan
- Center for Education Research and Innovation of Advanced Medical Technology, Hokkaido University Hospital, Sapporo, Japan
| | - Hajime Morohashi
- Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan
- Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan
| | - Eiji Oki
- Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan
- Department of Surgery and Science, Kyushu University, Fukuoka, Japan
| | - Kenichi Hakamada
- Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan
- Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan
| | - Norihiko Ikeda
- Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan
- Department of Surgery, Tokyo Medical University, Tokyo, Japan
| | - Masaki Mori
- Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan
- Tokai University School of Medicine, Isehara, Japan
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Arang H, El Boghdady M. Robotic Appendicectomy: A review of feasibility. Sultan Qaboos Univ Med J 2023; 23:440-446. [PMID: 38090254 PMCID: PMC10712383 DOI: 10.18295/squmj.7.2023.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2023] [Revised: 04/02/2023] [Accepted: 05/16/2023] [Indexed: 12/18/2023] Open
Abstract
Acute appendicitis is one of the most common abdominal emergencies. There has been an increasing use of robotic abdominal surgery. However, it remains underutilised in emergency settings. This study aimed to systematically review robotic appendicectomy (RA) feasibility. A 20-year systematic review was performed, along with quality assessment. The research protocol was registered with PROSPERO. The search yielded 1,242 citations, including 9 articles. The mean quality score was 10.72 ± 2.56. The endpoints across the studies were rate of conversion to open surgery, length of hospital stay, blood loss and operative time. RA is a safe, feasible technique that can be performed in elective and emergency settings with minimal blood loss. The operative time and hospital stay were within acceptable limits. Robotic surgery's major drawback is its high cost and limited availability. Future studies evaluating RA with a focus on its application during emergencies and its cost-effectiveness are recommended.
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Affiliation(s)
| | - Michael El Boghdady
- Department of General Surgery, St George’s University Hospitals NHS Foundation Trust, London, UK
- University of Edinburgh, Scotland, UK
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Soloff MA, Keel T, Nizam A, Goldberg GL, Sakaris A, Diefenbach MA, DePeralta DK, Frimer M. Stress, anxiety, and illness perception in patients experiencing delay in operative care due to the COVID-19 pandemic. Gynecol Oncol Rep 2023; 48:101245. [PMID: 37576353 PMCID: PMC10422101 DOI: 10.1016/j.gore.2023.101245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 07/11/2023] [Accepted: 07/12/2023] [Indexed: 08/15/2023] Open
Abstract
Background Amid the height of the COVID-19 pandemic in the US, the US Surgeon General ordered hospitals and healthcare systems to stop all elective surgical procedures. The aim of our study was to evaluate the additional mental health impact of surgical delay on patients awaiting surgery for benign, pre-malignant and malignant conditions within the context of the COVID-19 pandemic. Study design All patients over the age of 18 awaiting surgery for benign, pre-malignant or malignant conditions within the gynecologic oncology, surgical oncology and colorectal services across Northwell Health were eligible for participation. Upon successful enrollment, participants completed a baseline questionnaire consisting of the Generalized Anxiety Disorder Questionnaire, the Penn State Worry Questionnaire, and Brief-Illness Patient Questionnaire. Results The surgical delay was considered moderately to extremely concerning by 72 % of survey respondents, with one third indicating the highest (10/10) level of concern. Fifty-five percent of patients with a pre-operatively suspected/confirmed cancer or pre-malignant condition demonstrated mild to severe anxiety in their completion of the GAD-7 scale. The average time awaiting surgery was 117 days (range 8-292); and 63 % of respondents indicated that the delay had a moderate to severe impact on their daily life. Conclusions Patients awaiting surgery for confirmed, suspected or pre-malignant conditions expressed decreased sense of control and increased levels of distress compared to patients awaiting procedures for benign conditions (p < 0.05, 95 % CI [-2.65, -0.08]). Future research will focus on the effects of COVID-19 related delays in operative care on clinical outcomes, including cancer morbidity and mortality.
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Affiliation(s)
- Michelle A. Soloff
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 270-05 76 Avenue, Queens, NY 11040, United States
| | - Trey Keel
- Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, NY 11549, United States
| | - Aaron Nizam
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 270-05 76 Avenue, Queens, NY 11040, United States
| | - Gary L. Goldberg
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 270-05 76 Avenue, Queens, NY 11040, United States
- Karches Center for Oncology Research, Feinstein Institutes for Medical Research, 350 Community Drive, Manhasset, NY 11030, United States
| | - Antoinette Sakaris
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 270-05 76 Avenue, Queens, NY 11040, United States
| | - Michael A. Diefenbach
- Department of Medicine, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, NY 11549, United States
| | - Danielle K. DePeralta
- Division of Surgical Oncology, Department of General Surgery, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 270-05 76 Avenue, Queens, NY 11040, United States
| | - Marina Frimer
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 270-05 76 Avenue, Queens, NY 11040, United States
- Karches Center for Oncology Research, Feinstein Institutes for Medical Research, 350 Community Drive, Manhasset, NY 11030, United States
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Jena KK, Nayak SR, Bhoi SK, Verma KD, Prakash D, Gupta A. A novel service robot assignment approach for COVID-19 infected patients: a case of medical data driven decision making. MULTIMEDIA TOOLS AND APPLICATIONS 2022; 81:41995-42021. [PMID: 36090152 PMCID: PMC9440332 DOI: 10.1007/s11042-022-13524-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 09/22/2021] [Accepted: 07/13/2022] [Indexed: 06/15/2023]
Abstract
Coronavirus Disease-19 (COVID-19) is a major concern for the entire world in the current era. Coronavirus is a very dangerous infectious virus that spreads rapidly from person to person. It spreads in exponential manner on a global scale. It affects the doctors, nurse and other COVID-19 warriors those who are actively involved for the treatment of COVID-19 infected (CI) patients. So, it is very much essential to focus on automation and artificial intelligence (AI) in different hospitals for the treatment of such infected patients and all should be very much careful to break the chain of spreading this novel virus. In this paper, a novel patient service robots (PSRs) assignment framework and a priority based (PB) method using fuzzy rule based (FRB) approach is proposed for the assignment of PSRs for CI patients in hospitals in order to provide safety to the COVID-19 warriors as well as to the CI infected patients. This novel approach is mainly focused on lowering the active involvement of COVID-19 warriors for the treatment of high asymptotic COVID-19 infected (HACI) patients for handling this tough situation. In this work, we have focused on HACI and low asymptotic COVID-19 infected (LACI) patients. Higher priority is given to HACI patients as compared to LACI patients to handle this critical situation in order to increase the survival probability of these patients. The proposed method deals with situations that practically arise during the assignment of PSRs for the treatment of such patients. The simulation of the work is carried out using MATLAB R2015b.
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Affiliation(s)
- Kalyan Kumar Jena
- Department of Computer Science and Engineering, PMECParala Maharaja Engineering College, Berhampur, India
| | - Soumya Ranjan Nayak
- PradeshAmity School of Engineering and Technology, Amity University Uttar Pradesh, Noida, India
| | - Sourav Kumar Bhoi
- Department of Computer Science and Engineering, PMECParala Maharaja Engineering College, Berhampur, India
| | - K. D. Verma
- Department of Physics, Shri Varshney (P.G.) College, Aligarh, UP 202001 India
| | - Deo Prakash
- School of Computer Science & Engineering, Shri Mata Vaishno Devi University, Kakryal, Katra, J&K 182320 India
| | - Abhishek Gupta
- School of Computer Science & Engineering, Shri Mata Vaishno Devi University, Kakryal, Katra, J&K 182320 India
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Fleming CA, Fullard A, Croghan S, Pellino G, Pata F. Robotic Abdominal Surgery and COVID-19: A Systematic Review of Published Literature and Peer-Reviewed Guidelines during the SARS-CoV-2 Pandemic. J Clin Med 2022; 11:2957. [PMID: 35683346 PMCID: PMC9181746 DOI: 10.3390/jcm11112957] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 05/05/2022] [Accepted: 05/20/2022] [Indexed: 02/04/2023] Open
Abstract
Background: Significant concern emerged at the beginning of the SARS-CoV-2 pandemic regarding the safety and practicality of robotic-assisted surgery (RAS). We aimed to review reported surgical practice and peer-reviewed published review recommendations and guidelines relating to RAS during the pandemic. Methods: A systematic review was performed in keeping with PRISMA guidelines. This study was registered on Open Science Framework. Databases were searched using the following search terms: 'robotic surgery', 'robotics', 'COVID-19', and 'SARS-CoV-2'. Firstly, articles describing any outcome from or reference to robotic surgery during the COVID-19/SARS-CoV-2 pandemic were considered for inclusion. Guidelines or review articles that outlined recommendations were included if published in a peer-reviewed journal and incorporating direct reference to RAS practice during the pandemic. The ROBINS-I (Risk of Bias in Non-Randomised Studies of Intervention) tool was used to assess the quality of surgical practice articles and guidelines and recommendation publications were assessed using the AGREE-II reporting tool. Publication trends, median time from submission to acceptance were reported along with clinical outcomes and practice recommendations. Results: Twenty-nine articles were included: 15 reporting RAS practice and 14 comprising peer-reviewed guidelines or review recommendations related to RAS during the pandemic, with multiple specialities (i.e., urology, colorectal, digestive surgery, and general minimally invasive surgery) covered. Included articles were published April 2020-December 2021, and the median interval from first submission to acceptance was 92 days. All surgical practice studies scored 'low' or 'moderate' risk of bias on the ROBINS-I assessment. All guidelines and recommendations scored 'moderately well' on the AGREE-II assessment; however, all underperformed in the domain of public and patient involvement. Overall, there were no increases in perioperative complication rates or mortalities in patients who underwent RAS compared to that expected in non-COVID practice. RAS was deemed safe, with recommendations for mitigation of risk of viral transmission. Conclusions: Continuation of RAS was feasible and safe during the SARS-CoV-2 pandemic where resources permitted. Post-pandemic reflections upon published robotic data and publication patterns allows us to better prepare for future events and to enhance urgent guideline design processes.
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Affiliation(s)
- Christina A. Fleming
- Department of Colorectal Surgery, University Hospital Limerick, V94 F858 Limerick, Ireland
- PROGRESS Fellow, Royal College of Surgeons in Ireland, D02 YN77 Dublin, Ireland
| | - Anna Fullard
- Department of Colorectal Surgery, University Hospital Galway, H91 YR71 Galway, Ireland;
| | - Stefanie Croghan
- Strategic Academic Recruitment (StAR) Programme (Urology) Royal College of Surgeons, D02 YN77 Dublin, Ireland;
| | - Gianluca Pellino
- Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania “Luigi Vanvitelli”, 80138 Naples, Italy;
- Colorectal Surgery, Vall d’Hebron University Hospital, 08035 Barcelona, Spain
| | - Francesco Pata
- General Surgery Unit, Nicola Giannettasio Hospital, 87064 Corigliano-Rossano, Italy;
- La Sapienza University, 00185 Rome, Italy
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Cruz-Castellanos P, Ortiz-Cruz E, Sánchez-Méndez JI, Tapia M, Morera R, Redondo A. [The impact of the first wave of the COVID-19 pandemic on oncological patients in a tertiary hospital]. REVISTA ESPANOLA DE PATOLOGIA : PUBLICACION OFICIAL DE LA SOCIEDAD ESPANOLA DE ANATOMIA PATOLOGICA Y DE LA SOCIEDAD ESPANOLA DE CITOLOGIA 2022; 55:77-84. [PMID: 35483772 PMCID: PMC8767796 DOI: 10.1016/j.patol.2021.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 11/19/2021] [Accepted: 12/19/2021] [Indexed: 12/24/2022]
Abstract
BLACKGROUND The COVID-19 pandemic has over-burdened the Spanish health service and, as a result, affected the treatment and management of oncological patients. The aim of this study is to make a descriptive analysis of the management of oncological patients and the functioning of the tumour committees in the University Hospital La Paz (Madrid) during the first wave of the pandemic. MATERIALS AND METHODS A descriptive analysis was made, based on the results of a questionnaire given to all 18 adult tumour committees and 3 paediatric tumour committees in the University Hospital La Paz. Further information was obtained from all the hospital services involved in the diagnosis and treatment of oncological patients. RESULTS During the first wave of the pandemic, there was a significant decrease in diagnostic tests. For many weeks, the majority of oncological surgical procedures were delayed or referred to other hospitals. Highly beneficial systemic and radiotherapeutic treatments were maintained and preoperative treatment was increased. The diagnosis and treatment of paediatric tumours was unaltered. Tumour committees were affected but each one adjusted in a different way. All the departments involved in the diagnosis and treatment of oncological patients made contingency plans to minimalize the effect on patients. CONCLUSION This study shows how the management of oncological patients and the functioning of tumour committees was affected during the COVID-19 pandemic.
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Affiliation(s)
- Patricia Cruz-Castellanos
- Servicio de Oncología Médica, Hospital Universitario La Paz, Comisión de Tejidos y Tumores del Hospital Universitario La Paz, Madrid, España.
| | - Eduardo Ortiz-Cruz
- Servicio de Traumatología, Hospital Universitario La Paz, Unidad de Tumores Óseos, Comisión de Tejidos y Tumores del Hospital Universitario La Paz, Madrid, España
| | - Jose Ignacio Sánchez-Méndez
- Servicio de Ginecología, Hospital Universitario La Paz, Comisión de Tejidos y Tumores del Hospital Universitario La Paz, Madrid, España
| | - Mar Tapia
- Servicio de Radiología, Hospital Universitario la Paz, Comisión de Tejidos y Tumores del Hospital Universitario La Paz, Madrid, España
| | - Rosa Morera
- Servicio de Oncología Radioterápica, Hospital Universitario la Paz, Comisión de Tejidos y Tumores del Hospital Universitario La Paz, Madrid, España
| | - Andrés Redondo
- Servicio de Oncología Médica, Hospital Universitario La Paz, Comisión de Tejidos y Tumores del Hospital Universitario La Paz, Madrid, España
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Maertens V, Stefan S, Rawlinson E, Ball C, Gibbs P, Mercer S, Khan JS. Emergency robotic colorectal surgery during COVID-19 pandemic: A retrospective case series study. LAPAROSCOPIC, ENDOSCOPIC AND ROBOTIC SURGERY 2022; 5:57-60. [PMID: 35342848 PMCID: PMC8938261 DOI: 10.1016/j.lers.2022.03.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 03/09/2022] [Accepted: 03/14/2022] [Indexed: 02/07/2023] Open
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Grinin L, Grinin A, Korotayev A. COVID-19 pandemic as a trigger for the acceleration of the cybernetic revolution, transition from e-government to e-state, and change in social relations. TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE 2022; 175:121348. [PMID: 34789950 PMCID: PMC8585613 DOI: 10.1016/j.techfore.2021.121348] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 11/04/2021] [Accepted: 11/07/2021] [Indexed: 05/27/2023]
Abstract
Among many influences that the pandemic has and will have on society and the World System as a whole, one of the most important is the acceleration of the start of a new technological wave and a new technological paradigm in the near future. This impact is determined by the growing need for the development of a number of areas in medicine, bio- and nanotechnology, artificial intelligence and others, which we denote as "MANBRIC convergence". It is shown that the experience of dealing with the COVID-19 pandemic has confirmed that the final phase of the Cybernetic Revolution will begin in the 2030s at the intersection of a number of medical, bio, digital and several other technologies, with medical needs as an integrating link. Among the multitude of self-regulating systems in the economy and life (which, in our opinion, will flourish during the Cybernetic Revolution) socio-technical self-regulating systems (SSSs) will play a special role. Thus, COVID-19 becomes a powerful impetus not only in terms of accelerating technological development and approaching the final phase of the Cybernetic Revolution, but also in changing sociopolitical (and socio-administrative) relations in the forthcoming decades.
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Affiliation(s)
- Leonid Grinin
- HSE University, Moscow; Institute of Oriental Studies, Russian Academy of Sciences,Russia
| | | | - Andrey Korotayev
- HSE University, Moscow; Institute of Oriental Studies, Russian Academy of Sciences, Russia
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Yuvaraja TB, Dev P, Waigankar S, Ranade S, Pednekar A, Agarwal V, Khandekar A, Badlani N, Asari A. Safety of uro-oncology practice and robot-assisted surgery during the peak of COVID-19 pandemic: A report from India. J Cancer Res Ther 2022; 18:1629-1634. [PMID: 36412422 DOI: 10.4103/jcrt.jcrt_1006_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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ŞENCAN İ, BULUT D, ŞENCAN İH, AĞALAR C. Global health emergencies during the pandemic and their solutions. Turk J Med Sci 2021; 51:3194-3206. [PMID: 34365778 PMCID: PMC8771008 DOI: 10.3906/sag-2106-183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Accepted: 08/07/2021] [Indexed: 11/19/2022] Open
Abstract
In this review, we evaluated health care problems, which were not common before pandemic outbreak but have been common issues after its appereance and approaches to control pandemic considering its influences on people. We revised current health care developing approaches under the light of experience obtained throughout the pandemic so far. The aim is to be prepared in advance for possible upcoming pandemics. As in Covid 19 pandemics, such long lasting and widely affecting situations, durability is also very important together with flexibility and quickness. To provide durability, we need global policies taking the health to its center as well as health system policies.
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Affiliation(s)
- İrfan ŞENCAN
- Department of Infectious Diseases and Clinical Microbiology, Health Sciences University, Dışkapı Yıldırım Beyazıt Teaching and Research Hospital, AnkaraTurkey
| | - Dilek BULUT
- Department of Infectious Diseases and Clinical Microbiology, Health Sciences University, Dışkapı Yıldırım Beyazıt Teaching and Research Hospital, AnkaraTurkey
| | - İsmail Hakkı ŞENCAN
- Department of General Surgery, Health Sciences University, Ankara Teaching and Research Hospital, AnkaraTurkey
| | - Canan AĞALAR
- Department of Infectious Diseases and Clinical Microbiology, Fenerbahçe University, Medicana Ataşehir Hospital, İstanbulTurkey
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Abstract
COVID-19 has transformed the care we provide to gynecologic oncology patients. In addition to directly impacting the diagnosis and treatment of women with gynecologic cancer, it has affected our patient’s ability to undergo recommended surveillance and has made an impact on every caregiver providing care during this time. Herein we review the current literature on the impact of COVID-19 on gynecologic oncology and highlight new approaches and innovations that have resulted in gynecologic cancer care as a result of the pandemic. The impact of COVID-19 on the field of gynecologic oncology has been profound. In addition to directly impacting the diagnosis and treatment of women with cancer, it has also challenged the very ethics with which we practice medicine. The equitable distribution of resources is paramount to upholding the Hippocratic Oath which we all invoke. The COVID-19 pandemic has stripped this oath down to its very core, forcing all medical practitioners to scrutinize who gets what resources and when. As the pandemic continues to unfold, the question remains — in the setting of a strained and overburdened healthcare system, how do we maximize beneficence to one group of patients, while maintaining non-maleficence to others? As gynecologic oncologists, we are responsible for advocating for our patients to ensure that the quality of their cancer care is not compromised, while also not overutilizing resources that are sorely needed for the care of COVID-19 victims, and not making them more likely to succumb to COVID-19 by the very nature of the treatment we provide. The effects of the pandemic are far-reaching and broad, and many of these are yet to be determined. Future studies are needed to analyze how the above-utilized strategies in GYN cancer care during the pandemic will impact the long-term outcomes of our patients.
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Oz M, Meydanli MM, Altintas MI, Akilli H, Gultekin M, Ozgul N, Salman MC, Taskin S, Yaprak E, Taskiran C, Vatansever D, Giray B, Yetkinel S, Celik H, Onan MA, Ayhan A. The safety of major gynaecologic cancer surgery without routine preoperative COVID-19 testing in the COVID-19 era: a multicentre, retrospective, case-control study. J OBSTET GYNAECOL 2021; 42:1286-1292. [PMID: 34704523 DOI: 10.1080/01443615.2021.1959535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Our goal was to address the safety of major gynaecologic cancer surgery without routine preoperative COVID-19 testing in the COVID-19 era. The databases of seven gynaecologic cancer centres were searched in order to identify all consecutive gynaecologic cancer patients undergoing major surgery between March 11, 2020 and May 15, 2020 for this retrospective, case-control study. The case group consisted of patients with histopathologically confirmed gynaecologic cancers, and each case was matched with two counterparts who had undergone primary surgery before the COVID-19 pandemic. The case and the control groups were compared in terms of length of hospital stay, admission to the intensive care unit (ICU), intraoperative and postoperative complications.During the study period, 154 women with gynaecologic cancer undergoing major surgery were identified. Although the case group had more co-morbidities compared to the control group (103/154 vs. 178/308, respectively; p = .04), the median length of hospital stays, the rate of ICU admission, intraoperative complication rates and postoperative complication rates were similar in the two groups. Gynaecologic cancer surgery may be performed safely in the COVID-19 era with similar rates of ICU admission, intraoperative and postoperative complications compared to the patients operated before the COVID-19 pandemic.IMPACT STATEMENTWhat is already known on this subject? Many societies have announced their guidelines about the surgical management of gynaecologic cancer patients during the COVID-19 pandemic. However, most of them are not evidence-based and mostly on expert opinions.What do the results of this study add? The main findings of this retrospective, case-control study indicate that the short-term (30 day) outcomes of gynaecologic cancer patients undergoing major surgery in the COVID-19 era are similar to those who had been operated before the COVID-19 pandemic. The length of hospital stays, the rates of admission to the ICU, intraoperative and postoperative complications were comparable between women undergoing major gynaecologic cancer surgery in the COVID-19 era and the women who had been operated before the pandemic.What are the implications of these findings for clinical practice and/or further research? We can suggest that definitive surgery may be performed for gynaecologic cancer patients in the COVID-19 era if the resources permit and appropriate precautions such as social distancing, isolation and the use of personal protective equipment are taken.
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Affiliation(s)
- Murat Oz
- Department of Gynaecologic Oncology, Ankara City Hospital, Faculty of Medicine, University of Health Sciences, Ankara, Turkey
| | - Mehmet Mutlu Meydanli
- Department of Gynaecologic Oncology, Ankara City Hospital, Faculty of Medicine, University of Health Sciences, Ankara, Turkey
| | - Mufide Iclal Altintas
- Department of Obstetrics and Gynecology, Ankara City Hospital, Faculty of Medicine, University of Health Sciences, Ankara, Turkey
| | - Huseyin Akilli
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Başkent University, Ankara, Turkey
| | - Murat Gultekin
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Nejat Ozgul
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Mehmet Coskun Salman
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Salih Taskin
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, School of Medicine, Ankara University, Ankara, Turkey
| | - Esra Yaprak
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, School of Medicine, Ankara University, Ankara, Turkey
| | - Cagatay Taskiran
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, School of Medicine, Koç University, Istanbul, Turkey
| | - Dogan Vatansever
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, School of Medicine, Koç University, Istanbul, Turkey
| | - Burak Giray
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, School of Medicine, Koç University, Istanbul, Turkey
| | - Selcuk Yetkinel
- Department of Obstetrics and Gynecology, Faculty of Medicine, Başkent University, Adana, Turkey
| | - Husnu Celik
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Başkent University, Adana, Turkey
| | - Mehmet Anil Onan
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Ali Ayhan
- Division of Gynaecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Başkent University, Ankara, Turkey
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14
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Matta I, Laganà AS, Ghabi E, Bitar L, Ayed A, Petousis S, Vitale SG, Sleiman Z. COVID-19 transmission in surgical smoke during laparoscopy and open surgery: a systematic review. MINIM INVASIV THER 2021; 31:690-697. [PMID: 34612141 DOI: 10.1080/13645706.2021.1982728] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
AIM To evaluate the risk of SARS-CoV-2 transmission in surgical smoke and aerosols during laparoscopy and open surgery. MATERIAL AND METHODS A systematic review (PROSPERO ID: CRD42021268366) was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Articles were selected based on the title and abstract as well as the type of publication. Primary objectives of the study were to assess potential risk of contamination as well as comparing laparoscopic and open procedures in terms of danger of SARS-COV-2 transmission. RESULTS Fifty-three articles were identified and included in the review. No case of SARS-CoV-2 transmission to operating room personnel during open or minimally invasive surgery was identified at the time the review was conducted. Furthermore, no significant difference was observed between smoke and aerosols generated from open surgery and those generated from minimally invasive surgery. CONCLUSION COVID-19 transmission in surgical smoke and aerosols has yet to be observed. However, given the potential risk of viral transmission, caution should be exercised when performing surgery to ensure the safety of the operating room personnel. When clinically indicated and when protective measures can be implemented, minimally invasive surgery should be performed instead of open surgery to ensure optimal patient outcomes.
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Affiliation(s)
- Imad Matta
- Division of Urology, University of Balamand, Beirut, Lebanon
| | - Antonio Simone Laganà
- Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Varese, Italy
| | - Elie Ghabi
- Division of Urology, University of Balamand, Beirut, Lebanon
| | - Lynn Bitar
- Saint Joseph University, Beirut, Lebanon
| | - Amal Ayed
- Department of Obstetrics and Gynecology, Farwanya Hospital, MOH, Farwanya, Kuwait
| | - Stamatios Petousis
- 2nd Department of Obstetrics and Gynecology, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Ippokratio General Hospital, Thessaloniki, Greece
| | - Salvatore Giovanni Vitale
- Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
| | - Zaki Sleiman
- Department of Obstetrics and Gynecology, Lebanese American University, Beirut, Lebanon
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15
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Esterwood C, Robert LP. A Systematic Review of Human and Robot Personality in Health Care Human-Robot Interaction. Front Robot AI 2021; 8:748246. [PMID: 34604318 PMCID: PMC8484868 DOI: 10.3389/frobt.2021.748246] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 09/06/2021] [Indexed: 11/13/2022] Open
Abstract
Robots have become vital to the delivery of health care and their personalities are often important to understanding their effectiveness as health care providers. Despite this, there is a lack of a systematic overarching understanding of personality in health care human-robot interaction. This makes it difficult to understand what we know and do not know about the impact of personality in health care human-robot interaction (H-HRI). As a result, our understanding of personality in H-HRI has not kept pace with the deployment of robots in various health care environments. To address this, the authors conducted a literature review that identified 18 studies on personality in H-HRI. This paper expands, refines, and further explicates the systematic review done in a conference proceedings [see: Esterwood (Proceedings of the 8th International Conference on Human-Agent Interaction, 2020, 87–95)]. Review results: 1) highlight major thematic research areas, 2) derive and present major conclusions from the literature, 3) identify gaps in the literature, and 4) offer guidance for future H-HRI researchers. Overall, this paper represents a reflection on the existing literature and provides an important starting point for future research on personality in H-HRI.
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Affiliation(s)
- Connor Esterwood
- School of Information, University of Michigan, Ann Arbor, MI, United States
| | - Lionel P Robert
- School of Information, University of Michigan, Ann Arbor, MI, United States.,Robotics Institute, University of Michigan, Ann Arbor, MI, United States
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16
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Multi-Agent Robot System to Monitor and Enforce Physical Distancing Constraints in Large Areas to Combat COVID-19 and Future Pandemics. APPLIED SCIENCES-BASEL 2021. [DOI: 10.3390/app11167200] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Random outbreaks of infectious diseases in the past have left a persistent impact on societies. Currently, COVID-19 is spreading worldwide and consequently risking human lives. In this regard, maintaining physical distance has turned into an essential precautionary measure to curb the spread of the virus. In this paper, we propose an autonomous monitoring system that is able to enforce physical distancing rules in large areas round the clock without human intervention. We present a novel system to automatically detect groups of individuals who do not comply with physical distancing constraints, i.e., maintaining a distance of 1 m, by tracking them within large areas to re-identify them in case of repetitive non-compliance and enforcing physical distancing. We used a distributed network of multiple CCTV cameras mounted to the walls of buildings for the detection, tracking and re-identification of non-compliant groups. Furthermore, we used multiple self-docking autonomous robots with collision-free navigation to enforce physical distancing constraints by sending alert messages to those persons who are not adhering to physical distancing constraints. We conducted 28 experiments that included 15 participants in different scenarios to evaluate and highlight the performance and significance of the present system. The presented system is capable of re-identifying repetitive violations of physical distancing constraints by a non-compliant group, with high accuracy in terms of detection, tracking and localization through a set of coordinated CCTV cameras. Autonomous robots in the present system are capable of attending to non-compliant groups in multiple regions of a large area and encouraging them to comply with the constraints.
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17
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Rajanbabu A, Nitu PV, Patel V, Kadapamannil D. Modifications Made for Minimally Invasive Gynecologic Oncology Surgery During the COVID-19 Pandemic Period. J Obstet Gynaecol India 2021; 71:52-54. [PMID: 34220047 PMCID: PMC8234767 DOI: 10.1007/s13224-021-01487-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Accepted: 04/15/2021] [Indexed: 11/26/2022] Open
Abstract
The COVID-19 pandemic is threatening the world and our country today. Minimally invasive surgery was initially thought to have a higher risk of spreading the disease through aerosolisation of viral particles through the pneumoperitoneum. This article outlines the various protective measures taken for minimally invasive surgery to decrease the aerosol spread at a Gynecologic Oncology unit during the COVID pandemic period. Precautions taken during anesthesia, trocar insertion, surgery and special precautions for smoke evacuation with viral filters are outlined.
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Affiliation(s)
- Anupama Rajanbabu
- Department of Gynaecological Oncology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041 India
| | - P. V. Nitu
- Department of Anaesthesiology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041 India
| | - Viral Patel
- Department of Gynaecological Oncology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041 India
| | - Dilesh Kadapamannil
- Department of Gynaecological Oncology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041 India
- Department of Anaesthesiology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041 India
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18
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Tommaselli GA, Grange P, Ricketts CD, Clymer JW, Fryrear RS. Intraoperative Measures to Reduce the Risk of COVID-19 Transmission During Minimally Invasive Procedures: A Systematic Review and Critical Appraisal of Societies' Recommendations. Surg Laparosc Endosc Percutan Tech 2021; 31:765-777. [PMID: 34320592 PMCID: PMC8635252 DOI: 10.1097/sle.0000000000000972] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND The coronavirus 2019 pandemic and the hypothetical risk of virus transmission through aerosolized CO2 or surgical smoke produced during minimally invasive surgery (MIS) procedures have prompted societies to issue recommendations on measures to reduce this risk. The aim of this systematic review is to identify, summarize and critically appraise recommendations from surgical societies on intraoperative measures to reduce the risk of severe acute respiratory syndrome coronavirus 2 transmission to the operative room (OR) staff during MIS. METHODS Medline, Embase, and Google Scholar databases were searched using a search strategy or free terms. The search was supplemented with searches of additional relevant records on coronavirus 2019 resource websites from Surgical Associations and Societies. Recommendations published by surgical societies that reported on the intraoperative methods to reduce the risk of severe acute respiratory syndrome coronavirus 2 transmission to the OR staff during MIS were also reviewed for inclusion. Expert opinion articles were excluded. A preliminary synthesis was performed of the extracted data to categorize and itemize the different types of recommendations. The results were then summarized in a narrative synthesis. RESULTS Thirty-three recommendation were included in the study. Most recommendations were targeted to general surgery (13) and gynecology (8). Areas covered by the documents were recommendations on performance of laparoscopic/robotic surgery versus open approach (28 documents), selection of surgical staff (13), management of pneumoperitoneum (33), use of energy devices (20), and management of surgical smoke and pneumoperitoneum desufflation (33) with varying degree of consensus on the specific recommendations among the documents. CONCLUSIONS While some of the early recommendations advised against the use of MIS, they were not strictly based on the available scientific evidence. After further consideration of the literature and of the well-known benefits of laparoscopy to the patient, later recommendations shifted to encouraging the use of MIS as long as adequate precautions could be taken to protect the safety of the OR staff. The release and implementation of recommendations should be based on evidence-based practices that allows health care systems to provide safe surgical and medical assistance.
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19
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Wang XV, Wang L. A literature survey of the robotic technologies during the COVID-19 pandemic. JOURNAL OF MANUFACTURING SYSTEMS 2021; 60:823-836. [PMID: 33612914 PMCID: PMC7881735 DOI: 10.1016/j.jmsy.2021.02.005] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 02/08/2021] [Accepted: 02/09/2021] [Indexed: 05/06/2023]
Abstract
Since the late 2019, the COVID-19 pandemic has been spread all around the world. The pandemic is a critical challenge to the health and safety of the general public, the medical staff and the medical systems worldwide. It has been globally proposed to utilise robots during the pandemic, to improve the treatment of patients and leverage the load of the medical system. However, there is still a lack of detailed and systematic review of the robotic research for the pandemic, from the technologies' perspective. Thus a thorough literature survey is conducted in this research and more than 280 publications have been reviewed, with the focus on robotics during the pandemic. The main contribution of this literature survey is to answer two research questions, i.e. 1) what the main research contributions are to combat the pandemic from the robotic technologies' perspective, and 2) what the promising supporting technologies are needed during and after the pandemic to help and guide future robotics research. The current achievements of robotic technologies are reviewed and discussed in different categories, followed by the identification of the representative work's technology readiness level. The future research trends and essential technologies are then highlighted, including artificial intelligence, 5 G, big data, wireless sensor network, and human-robot collaboration.
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Affiliation(s)
- Xi Vincent Wang
- Department of Production Engineering, KTH Royal Institute of Technology, Sweden
| | - Lihui Wang
- Department of Production Engineering, KTH Royal Institute of Technology, Sweden
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20
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Wang Y, Ahmed A, Azam A, Bing D, Shan Z, Zhang Z, Tariq MK, Sultana J, Mushtaq RT, Mehboob A, Xiaohu C, Rehman M. Applications of additive manufacturing (AM) in sustainable energy generation and battle against COVID-19 pandemic: The knowledge evolution of 3D printing. JOURNAL OF MANUFACTURING SYSTEMS 2021; 60:709-733. [PMID: 35068653 PMCID: PMC8759146 DOI: 10.1016/j.jmsy.2021.07.023] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 07/17/2021] [Accepted: 07/17/2021] [Indexed: 05/09/2023]
Abstract
Sustainable and cleaner manufacturing systems have found broad applications in industrial processes, especially aerospace, automotive and power generation. Conventional manufacturing methods are highly unsustainable regarding carbon emissions, energy consumption, material wastage, costly shipment and complex supply management. Besides, during global COVID-19 pandemic, advanced fabrication and management strategies were extremely required to fulfill the shortfall of basic and medical emergency supplies. Three-dimensional printing (3DP) reduces global energy consumption and CO2 emissions related to industrial manufacturing. Various renewable energy harvesting mechanisms utilizing solar, wind, tidal and human potential have been fabricated through additive manufacturing. 3D printing aided the manufacturing companies in combating the deficiencies of medical healthcare devices for patients and professionals globally. In this regard, 3D printed medical face shields, respiratory masks, personal protective equipment, PLA-based recyclable air filtration masks, additively manufactured ideal tissue models and new information technology (IT) based rapid manufacturing are some significant contributions of 3DP. Furthermore, a bibliometric study of 3D printing research was conducted in CiteSpace. The most influential keywords and latest research frontiers were found and the 3DP knowledge was categorized into 10 diverse research themes. The potential challenges incurred by AM industry during the pandemic were categorized in terms of design, safety, manufacturing, certification and legal issues. Significantly, this study highlights the versatile role of 3DP in battle against COVID-19 pandemic and provides up-to-date research frontiers, leading the readers to focus on the current hurdles encountered by AM industry, henceforth conduct further investigations to enhance 3DP technology.
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Affiliation(s)
- Yanen Wang
- Department of Industry Engineering, Northwestern Polytechnical University, Xi'an, 710072, PR China
| | - Ammar Ahmed
- Department of Industry Engineering, Northwestern Polytechnical University, Xi'an, 710072, PR China
| | - Ali Azam
- School of Mechanical Engineering, Southwest Jiaotong University, Chengdu, 610031, PR China
| | - Du Bing
- Center of Stomatology, The Second People's Hospital of Foshan, Foshan, 528000, PR China
| | - Zhang Shan
- Department of Industry Engineering, Northwestern Polytechnical University, Xi'an, 710072, PR China
| | - Zutao Zhang
- School of Mechanical Engineering, Southwest Jiaotong University, Chengdu, 610031, PR China
| | - Muhammad Kashif Tariq
- Department of Mechanical Engineering, University of Engineering & Technology, Lahore, 54890, Pakistan
| | - Jakiya Sultana
- Department of Industry Engineering, Northwestern Polytechnical University, Xi'an, 710072, PR China
| | - Ray Tahir Mushtaq
- Department of Industry Engineering, Northwestern Polytechnical University, Xi'an, 710072, PR China
| | - Asad Mehboob
- Department of Material Science and Engineering, Northwestern Polytechnical University, Xi'an, 710072, PR China
| | - Chen Xiaohu
- Department of Industry Engineering, Northwestern Polytechnical University, Xi'an, 710072, PR China
| | - Mudassar Rehman
- Department of Industry Engineering, Northwestern Polytechnical University, Xi'an, 710072, PR China
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21
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Sánchez-Guillén L, Jimenez-Rodriguez RM. Special surgical approaches during peri-COVID-19 pandemic: Robotic and transanal minimally invasive surgery. World J Gastrointest Surg 2021; 13:529-536. [PMID: 34194611 PMCID: PMC8223704 DOI: 10.4240/wjgs.v13.i6.529] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 01/26/2021] [Accepted: 04/09/2021] [Indexed: 02/06/2023] Open
Abstract
During the peri-coronavirus disease 2019 pandemic, the need of special care has raised, not only for our patients but also for health care workers. These needs are different regarding the procedure and the approach performed. This is a dynamic review in the use of robotics and transanal approaches for colorectal diseases. We searched PubMed and KSREvidence.com for studies related to coronavirus disease and robotic surgery/transanal mesorectal excision/transanal surgery (primary and systematic reviews). From 147 results in PubMed, 11 were selected for full text screening, and 11 were included in this paper. From 3 results in KSREvidence, no relevant systematic reviews were identified. We also checked the references in identified papers for further relevant studies. European Society of Coloproctology guidelines were including as part of the recommendations available. Robotic and transanal MIS can be performed safely during the pandemic, but particular characteristics of these procedure need to be taken into consideration.
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Affiliation(s)
- Luis Sánchez-Guillén
- Department of Cirugía General, Hospital Universitario de Elche, Elche 03201, Spain
| | - Rosa M Jimenez-Rodriguez
- Department of Surgery, Hospital Universitario Virgen del Rocio, Unidad de Coloproctologia, Sevilla 41013, Spain
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22
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Gao A, Murphy RR, Chen W, Dagnino G, Fischer P, Gutierrez MG, Kundrat D, Nelson BJ, Shamsudhin N, Su H, Xia J, Zemmar A, Zhang D, Wang C, Yang GZ. Progress in robotics for combating infectious diseases. Sci Robot 2021; 6:6/52/eabf1462. [PMID: 34043552 DOI: 10.1126/scirobotics.abf1462] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 03/09/2021] [Indexed: 12/24/2022]
Abstract
The world was unprepared for the COVID-19 pandemic, and recovery is likely to be a long process. Robots have long been heralded to take on dangerous, dull, and dirty jobs, often in environments that are unsuitable for humans. Could robots be used to fight future pandemics? We review the fundamental requirements for robotics for infectious disease management and outline how robotic technologies can be used in different scenarios, including disease prevention and monitoring, clinical care, laboratory automation, logistics, and maintenance of socioeconomic activities. We also address some of the open challenges for developing advanced robots that are application oriented, reliable, safe, and rapidly deployable when needed. Last, we look at the ethical use of robots and call for globally sustained efforts in order for robots to be ready for future outbreaks.
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Affiliation(s)
- Anzhu Gao
- Institute of Medical Robotics, Shanghai Jiao Tong University, 200240 Shanghai, China.,Department of Automation, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - Robin R Murphy
- Humanitarian Robotics and AI Laboratory, Texas A&M University, College Station, TX, USA
| | - Weidong Chen
- Institute of Medical Robotics, Shanghai Jiao Tong University, 200240 Shanghai, China.,Department of Automation, Shanghai Jiao Tong University, 200240 Shanghai, China
| | - Giulio Dagnino
- Hamlyn Centre for Robotic Surgery, Imperial College London, London SW7 2AZ, UK.,University of Twente, Enschede, Netherlands
| | - Peer Fischer
- Institute of Physical Chemistry, University of Stuttgart, Stuttgart, Germany.,Micro, Nano, and Molecular Systems Laboratory, Max Planck Institute for Intelligent Systems, Stuttgart, Germany
| | | | - Dennis Kundrat
- Hamlyn Centre for Robotic Surgery, Imperial College London, London SW7 2AZ, UK
| | | | | | - Hao Su
- Biomechatronics and Intelligent Robotics Lab, Department of Mechanical Engineering, City University of New York, City College, New York, NY 10031, USA
| | - Jingen Xia
- Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, 100029 Beijing, China.,National Center for Respiratory Medicine, 100029 Beijing, China.,Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, 100029 Beijing, China.,National Clinical Research Center for Respiratory Diseases, 100029 Beijing, China
| | - Ajmal Zemmar
- Department of Neurosurgery, Henan Provincial People's Hospital, Henan University People's Hospital, Henan University School of Medicine, 7 Weiwu Road, 450000 Zhengzhou, China.,Department of Neurosurgery, University of Louisville, School of Medicine, 200 Abraham Flexner Way, Louisville, KY 40202, USA
| | - Dandan Zhang
- Hamlyn Centre for Robotic Surgery, Imperial College London, London SW7 2AZ, UK
| | - Chen Wang
- Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, 100029 Beijing, China.,National Center for Respiratory Medicine, 100029 Beijing, China.,Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, 100029 Beijing, China.,National Clinical Research Center for Respiratory Diseases, 100029 Beijing, China.,Chinese Academy of Medical Sciences, Peking Union Medical College, 100730 Beijing, China
| | - Guang-Zhong Yang
- Institute of Medical Robotics, Shanghai Jiao Tong University, 200240 Shanghai, China.
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23
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Dai X, Li H, Ning M. Plasma Robot Engineering: The Next Generation of Precision Disease Management. Ann Biomed Eng 2021; 49:1593-1597. [PMID: 34085126 PMCID: PMC8174536 DOI: 10.1007/s10439-021-02799-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Accepted: 05/17/2021] [Indexed: 12/14/2022]
Abstract
Robotics, once combined with cold atmospheric plasma, represent key elements of the next generation of personalized medicine and contribute to the effective yet immediate response to pandemics. Plasma robots can serve as CAP delivery vehicle to assist in tumor therapeutics and viral disease prevention in addition to the already prevalent utilities of robots in precision surgery, diagnosis, and risk prevention. Plasma robots may develop at either the macro- or the micro- scale, successful navigations at which require joint effort from multiple research domains.
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Affiliation(s)
- Xiaofeng Dai
- Wuxi School of Medicine, Jiangnan University, Wuxi, China.
| | - Haiyuan Li
- School of Automation, Beijing University of Posts and Telecommunications, Beijing, China
| | - Meng Ning
- Jiangsu Key Laboratory of Advanced Food Manufacturing Equipment and Technology, School of Mechanical Engineering, Jiangnan University, Wuxi, China
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24
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Sahu B, Das PK, Kabat MR, Kumar R. Prevention of Covid-19 affected patient using multi robot cooperation and Q-learning approach: a solution. ACTA ACUST UNITED AC 2021; 56:793-821. [PMID: 33972809 PMCID: PMC8100739 DOI: 10.1007/s11135-021-01155-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/27/2021] [Indexed: 12/03/2022]
Abstract
Combat with the novel corona virus (COVID-19) has become challenging for all the frontline warriors like, medic people, police and other service provider. Many technology and intelligent algorithms have been developed to set the boundary in its incremental growth. This paper proposed a concept to set the boundary on spreading of this disease among the medic people, who are directly exposed to the COVID-19 patient. To reduce their risk to be infected, we have designed the theoretical model of the medic robot to provide medical services to the confirmed case patient. This paper explains the deployment and execution of assigned work of medic robot for patient carrying, delivering food, medications and handling the emergency health services. The medic robots are divided into various group based on their works. The COVID-19 area is considered as a multi-robot environment, where multiple medic robots will work simultaneously. To achieve the multi-robot cooperation and collision avoidance we have implemented the simplest reinforcement learning approach i.e. the Q-learning approach. We have compared the result with respect to the improved-Q-learning approach. A comparative analysis based on parameters like simplicity, objective, deployed robot category and cooperation has been done with some other approaches mentioned in the literature. For simplicity as well as the time and space complexity purpose the results reveal that Q-learning approach is a better consideration. The proposed approach reduces the mortality rate by 2%.
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Affiliation(s)
- Bandita Sahu
- Department of Computer Science and Engineering, VSSUT, Burla, India
| | | | | | - Raghvendra Kumar
- Department of Computer Science and Engineering, GIET University, Gunupur, India
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Thomas MJ, Lal V, Baby AK, Rabeeh Vp M, James A, Raj AK. Can technological advancements help to alleviate COVID-19 pandemic? a review. J Biomed Inform 2021; 117:103787. [PMID: 33862231 PMCID: PMC8056973 DOI: 10.1016/j.jbi.2021.103787] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 03/22/2021] [Accepted: 04/10/2021] [Indexed: 12/18/2022]
Abstract
The COVID-19 pandemic is continuing, and the innovative and efficient contributions of the emerging modern technologies to the pandemic responses are too early and cannot be completely quantified at this moment. Digital technologies are not a final solution but are the tools that facilitate a quick and effective pandemic response. In accordance, mobile applications, robots and drones, social media platforms (such as search engines, Twitter, and Facebook), television, and associated technologies deployed in tackling the COVID-19 (SARS-CoV-2) outbreak are discussed adequately, emphasizing the current-state-of-art. A collective discussion on reported literature, press releases, and organizational claims are reviewed. This review addresses and highlights how these effective modern technological solutions can aid in healthcare (involving contact tracing, real-time isolation monitoring/screening, disinfection, quarantine enforcement, syndromic surveillance, and mental health), communication (involving remote assistance, information sharing, and communication support), logistics, tourism, and hospitality. The study discusses the benefits of these digital technologies in curtailing the pandemic and 'how' the different sectors adapted to these in a shorter period. Social media and television's role in ensuring global connectivity and serving as a common platform to share authentic information among the general public were summarized. The World Health Organization and Governments' role globally in-line with the prevention of propagation of false news, spreading awareness, and diminishing the severity of the COVID-19 was discussed. Furthermore, this collective review is helpful to investigators, health departments, Government organizations, and policymakers alike to facilitate a quick and effective pandemic response.
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Affiliation(s)
- Mervin Joe Thomas
- Dept. of Mechanical Engg., National Institute of Technology Calicut, Kerala 673601, India
| | - Vishnu Lal
- Dept. of Mechanical Engg., National Institute of Technology Calicut, Kerala 673601, India
| | - Ajith Kurian Baby
- Dept. of Mechanical Engg., National Institute of Technology Calicut, Kerala 673601, India
| | - Muhammad Rabeeh Vp
- School of Materials Science and Engg., National Institute of Technology Calicut, Kerala 673601, India
| | - Alosh James
- Solar Energy Center, Dept. of Mechanical Engg., National Institute of Technology Calicut, Kerala 673601, India
| | - Arun K Raj
- Dept. of Mechanical Engg., Indian Institute of Technology Bombay, Maharashtra 400076, India.
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Abstract
Human–robot collaboration is currently one of the frontiers of industrial robot implementation. In parallel, the use of robots and robotic devices is increasing in several fields, substituting humans in “4D”—dull, dirty, dangerous, and delicate—tasks, and such a trend is boosted by the recent need for social distancing. New challenges in safety assessment and verification arise, due to both the closer and closer human–robot interaction, common for the different application domains, and the broadening of user audience, which is now very diverse. The present paper discusses a cross-domain approach towards the definition of step-by-step validation procedures for collaborative robotic applications. To outline the context, the standardization framework is analyzed, especially from the perspective of safety testing and assessment. Afterwards, some testing procedures based on safety skills, developed within the framework of the European project COVR, are discussed and exemplary presented.
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Feizi N, Tavakoli M, Patel RV, Atashzar SF. Robotics and AI for Teleoperation, Tele-Assessment, and Tele-Training for Surgery in the Era of COVID-19: Existing Challenges, and Future Vision. Front Robot AI 2021; 8:610677. [PMID: 33937347 PMCID: PMC8079974 DOI: 10.3389/frobt.2021.610677] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Accepted: 01/18/2021] [Indexed: 12/18/2022] Open
Abstract
The unprecedented shock caused by the COVID-19 pandemic has severely influenced the delivery of regular healthcare services. Most non-urgent medical activities, including elective surgeries, have been paused to mitigate the risk of infection and to dedicate medical resources to managing the pandemic. In this regard, not only surgeries are substantially influenced, but also pre- and post-operative assessment of patients and training for surgical procedures have been significantly impacted due to the pandemic. Many countries are planning a phased reopening, which includes the resumption of some surgical procedures. However, it is not clear how the reopening safe-practice guidelines will impact the quality of healthcare delivery. This perspective article evaluates the use of robotics and AI in 1) robotics-assisted surgery, 2) tele-examination of patients for pre- and post-surgery, and 3) tele-training for surgical procedures. Surgeons interact with a large number of staff and patients on a daily basis. Thus, the risk of infection transmission between them raises concerns. In addition, pre- and post-operative assessment also raises concerns about increasing the risk of disease transmission, in particular, since many patients may have other underlying conditions, which can increase their chances of mortality due to the virus. The pandemic has also limited the time and access that trainee surgeons have for training in the OR and/or in the presence of an expert. In this article, we describe existing challenges and possible solutions and suggest future research directions that may be relevant for robotics and AI in addressing the three tasks mentioned above.
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Affiliation(s)
- Navid Feizi
- Canadian Surgical Technologies and Advanced Robotics (CSTAR), London Health Sciences Centre, and School of Biomedical Engineering, University of Western Ontario, London, ON, Canada
| | - Mahdi Tavakoli
- Department of Electrical and Computer Engineering, University of Alberta, Edmonton, AB, Canada
| | - Rajni V. Patel
- Canadian Surgical Technologies and Advanced Robotics (CSTAR), London Health Sciences Centre, and School of Biomedical Engineering, University of Western Ontario, London, ON, Canada
- Department of Electrical and Computer Engineering, University of Western Ontario, London, ON, Canada
- Department of Surgery, University of Western Ontario, London, ON, Canada
| | - S. Farokh Atashzar
- Department of Electrical and Computer Engineering, New York University, New York, NY, United States
- Department of Mechanical and Aerospace Engineering, New York University, New York, NY, United States
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Erdem B, Gok M, Bostan S. The evolution of the changes in the clinical course: a multicenter survey-related impression of the ophthalmologists at the peak of the COVID-19 pandemic in Turkey. Int Ophthalmol 2021; 41:1261-1269. [PMID: 33389368 PMCID: PMC7778480 DOI: 10.1007/s10792-020-01681-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 12/04/2020] [Indexed: 01/08/2023]
Abstract
PURPOSE The coronavirus disease-2019 (COVID-19) has become a difficult pandemic to control worldwide. The high transmission risk and mortality rates of COVID-19 cause serious concerns in ophthalmologists and may cause disruptions in clinical functioning. This study aims to identify changes in the clinical approaches of ophthalmologists, understand their anxiety levels, and exhibit how patients' follow-up processes progress during the pandemic. METHODS A questionnaire that including demographic information, ophthalmology clinical activity scale, and Beck anxiety scale was sent to ophthalmologists in Turkey. Google Forms was used as a survey platform in this study. RESULTS A total of 121 ophthalmologists participated in the study. The participants stated that they could not continue routine interventional diagnosis and treatment practices during the outbreak. It was clearly stated that there were changes in their clinical approach and decreased patient examination quality. For this reason, 14.9% of physicians said to missed the diagnosis in this process. Physicians who encounter infected patients state that it is more difficult to provide ophthalmological services and their clinical approaches are affected more negatively. Anxiety levels of physicians who could access personal protective equipment (PPE) and show positive solidarity with their colleagues in the process were found to be lower. CONCLUSION Our study revealed that ophthalmologists, like other healthcare professionals, were severely affected by the COVID-19 outbreak. Accordingly, healthcare managers should provide adequate PPE for ophthalmologists, organize the clinical operation, and support the mental health of ophthalmologists.
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Affiliation(s)
- Burak Erdem
- Department of Ophthalmology, Ministry of Health - Ordu University Training and Research Hospital, 52200, Ordu, Turkey.
| | - Mustafa Gok
- Private Atanur Eye Hospital, 32040, Isparta, Turkey
| | - Sedat Bostan
- Department of Health Management, Ordu University Faculty of Health Sciences, 52200, Ordu, Turkey
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29
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Somashekhar SP, Acharya R, Saklani A, Parikh D, Goud J, Dixit J, Gopinath K, Kumar MV, Bhojwani R, Nayak S, Rao S, Kothari K, Chandramohan K, Desai S, Gupta A. Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (MIS: Laparoscopy and Robotic) During the COVID-19 Pandemic: Practice Modifications Expert Panel Consensus Guidelines from Academia of Minimal Access Surgical Oncology (AMASO). Indian J Surg Oncol 2021; 12:210-220. [PMID: 33223748 PMCID: PMC7671751 DOI: 10.1007/s13193-020-01254-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Accepted: 10/29/2020] [Indexed: 12/24/2022] Open
Abstract
The pandemic of COVID-19 across the globe triggered national lockdowns hampering normal working for all the essential services including healthcare. In order to reduce transmission and safety of patients and healthcare workers, the elective surgeries have been differed. The visits to the hospitals for follow-ups and consultations received temporary halt. However, we cannot halt the treatment for cancer patients who may or may not be COVID-19 positives. These are emergencies and should be treated ASAP. Conducting emergency surgeries during pandemic like COVID-19 is challenge for surgeons and the entire hospital infrastructure. The available information about COVID-19 and its propensity of contamination through droplets and aerosol need some modifications for conducting surgeries successfully without contaminating the hospital buildings, protecting healthcare teams and the patient. With these objectives, some modifications in the operating theater including surgical techniques for minimal access, laparoscopy, and robotic surgery are proposed in this review article. This review article also discusses the safety measures to be followed for the suspected or confirmed COVID-19 patient and the guidelines and recommendations for healthcare teams while treating these patients. Although there is little evidence of viral transmission through laparoscopic or open approaches, modifications to surgical practice such as the use of safe smoke evacuation and minimizing energy device used to reduce the risk of exposure to aerosolized particles to healthcare team are proposed in this review article.
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Affiliation(s)
- S. P. Somashekhar
- Department of Surgical Oncology, Manipal Comprehensive Cancer Centre, Manipal Hospitals, Bengaluru, India
| | | | | | | | | | | | | | | | - Rajesh Bhojwani
- Santokba Institute of Digestive Surgical Sciences, Santokba Durlabhji Memorial Hospital, Jaipu, India
| | | | | | | | - K. Chandramohan
- Department of Surgical Oncology, RCC, Trivandrum, 695011 India
| | - Sharad Desai
- Mahatma Gandhi Cancer Hospital, Visakhapatnam, India
| | - Arnab Gupta
- Saroj Gupta Cancer Center and Research Institute, Thakurpukur, Kolkata, India
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30
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Gynecological laparoscopic surgeries in the era of COVID-19 pandemic: a prospective study. Obstet Gynecol Sci 2021; 64:383-389. [PMID: 33794565 PMCID: PMC8290147 DOI: 10.5468/ogs.21029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 03/21/2021] [Indexed: 02/06/2023] Open
Abstract
Objective The novel coronavirus pandemic led to the suspension of elective surgeries and the diversion of resources and manpower towards pandemic control. However, gynecological emergencies and malignancies must be addressed despite the restricted resources and the need for protective measures against COVID-19. This study aimed to determine the types of gynecological surgeries performed, difficulties encountered, and their outcomes in the setting of the pandemic. Methods We performed a prospective cohort study over 6 months at a single tertiary center, including 60 women with gynecological complaints, categorized as emergencies and semi-emergencies, who underwent further surgery. Their surgical outcomes were measured through various parameters. Results We found that 68.3% were emergency cases, while the rest were classified as semi-emergencies. Fibroid and adenomyosis with failed medical management (48.3%), followed by cervical intraepithelial neoplasia (10%), and malignancies (10%) accounted for the semi-emergency cases, while ruptured ectopic pregnancies (13.3%) and torsion and ovarian cysts (18.4%) comprised the emergency cases. The decision to incision time between emergency and semi-emergency cases varied widely due to the safety prerequisites during the pandemic, ranging from 1 hour in emergency cases to 48 hours in semi-emergency cases. In addition, we studied the ease of preoperative preparation, patient satisfaction, and the average number of personnel available to run the operation theaters at these times. No serious perioperative adverse events were observed in the present study. Conclusion In conclusion, gynecological surgeries could continue to be safely performed with all precautions in place against COVID-19 infection and related morbidities.
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Odejinmi F, Egbase E, Clark TJ, Mallick R. COVID-19 in Women's health reducing the risk of infection to patients and staff during acute and elective hospital admission for gynaecological surgery. Best Pract Res Clin Obstet Gynaecol 2021; 73:40-55. [PMID: 33879364 PMCID: PMC7970477 DOI: 10.1016/j.bpobgyn.2021.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 03/09/2021] [Indexed: 11/06/2022]
Abstract
The novel coronavirus SARS-Cov-2 has changed healthcare on a worldwide scale. This highly contagious respiratory virus has overwhelmed healthcare systems. Many staff were redeployed, and there was widespread cessation of non-urgent outpatient clinics and surgery. Outpatient clinics and theatre areas were converted to COVID-19 wards and intensive care units. Following the first peak, services began to recommence with new triaging and prioritisation guidance to safeguard patients and staff. Different countries and healthcare systems produced differing guidance and, in particular, variation in the best approach to continuing acute and elective surgical procedures. This chapter collates and evaluates the increasing international literature concerning the surgical management of gynaecological conditions during the pandemic, such that clear inferences, recommendations and guidance can be generated to aid clinical practice and safeguard against further major disruption arising from further COVID-19 peaks. The available data are assessed within the context of the current phase of the COVID-19 pandemic.
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Affiliation(s)
| | | | - T Justin Clark
- Department of Obstetrics and Gynaecology, Birmingham Women's and Children's Hospital, Birmingham, UK
| | - Rebecca Mallick
- Princess Royal Hospital, University Hospitals Sussex NHS Foundation Trust, Haywards Heath, UK.
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Tse KY, Domingo EJ, Konar H, Kumarasamy S, Pariyar J, Tjokroprawiro BA, Ushijima K, Inthasorn P, Tan AL, Wilailak S. COVID-19 and gynecological cancers: Asia and Oceania Federation of Obstetrics and Gynecology oncology committee opinion. J Obstet Gynaecol Res 2021; 47:1643-1650. [PMID: 33650217 PMCID: PMC8013896 DOI: 10.1111/jog.14579] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 11/13/2020] [Indexed: 01/30/2023]
Abstract
Since the outbreak of COVID-19, there have already been over 26 million people being infected and it is expected that the pandemic will not end in near future. Not only the daily activities and lifestyles of individuals have been affected, the medical practice has also been modified to cope with this emergency catastrophe. In particular, the cancer services have faced an unprecedented challenge. While the services may have been cut by the national authorities or hospitals due to shortage of manpower and resources, the medical need of cancer patients has increased. Cancer patients who are receiving active treatment may develop various kinds of complications especially immunosuppression from chemotherapy, and they and their carers will need additional protection against COVID-19. Besides, there is also evidence that cancer patients are more prone to deteriorate from COVID-19 if they contract the viral infection. Therefore, it is crucial to establish guidelines so that healthcare providers can triage their resources to take care of the most needed patients, reduce less important hospitalization and visit, and to avoid potential complications from treatment. The Asia and Oceania Federation of Obstetrics and Gynecology (AOFOG) hereby issued this opinion statement on the management of gynecological cancer patients during the COVID-19.
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Affiliation(s)
- Ka Yu Tse
- Department of Obstetrics and Gynaecology, The University of Hong Kong, Pokfulam, Hong Kong
| | - Efren J Domingo
- Department of Obstetrics and Gynaecology, University of the Philippines, Philippine General Hospital, Manila, Philippines
| | - Hiralal Konar
- Department of Obstetrics and Gynaecology, Agartala Government Medical College, Agartala, India
| | | | - Jitendra Pariyar
- Gynecologic Oncology Unit, Civil Service Hospital, Kathmandu, Nepal
| | - Brahmana A Tjokroprawiro
- Department of Obstetrics and Gynecology, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia
| | - Kimio Ushijima
- Department of Obstetrics and Gynaecology, Kurume University, Kurume, Japan
| | - Perapong Inthasorn
- Department of Obstetrics-Gynecology, Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | | | - Sarikapan Wilailak
- Department of Obstetrics and Gynecology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
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Huddy JR, Crockett M, Nizar AS, Smith R, Malki M, Barber N, Tilney HS. Experiences of a "COVID protected" robotic surgical centre for colorectal and urological cancer in the COVID-19 pandemic. J Robot Surg 2021; 16:59-64. [PMID: 33570736 PMCID: PMC7877309 DOI: 10.1007/s11701-021-01199-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Accepted: 01/17/2021] [Indexed: 12/13/2022]
Abstract
The recent COVID-19 pandemic led to the cancellation of elective surgery across the United Kingdom. Re-establishing elective surgery in a manner that ensures patient and staff safety has been a priority. We report our experience and patient outcomes from setting up a "COVID protected" robotic unit for colorectal and renal surgery that housed both the da Vinci Si (Intuitive, Sunnyvale, CA, USA) and the Versius (CMR Surgical, Cambridge, UK) robotic systems. "COVID protected" robotic surgery was undertaken in a day-surgical unit attached to the main hospital. A standard operating procedure was developed in collaboration with the trust COVID-19 leadership team and adapted to national recommendations. 60 patients underwent elective robotic surgery in the initial 10-weeks of the study. This included 10 colorectal procedures and 50 urology procedures. Median length of stay was 4 days for rectal cancer procedures, 2 days less than prior to the COVID period, and 1 day for renal procedures. There were no instances of in-patient coronavirus transmission. Six rectal cancer patients waited more than 62 days for their surgery because of the initial COVID peak but none had an increase T-stage between pre-operative staging and post-operative histology. Robotic surgery can be undertaken in "COVID protected" units within acute hospitals in a safe way that mitigates the increased risk of undergoing major surgery in the current pandemic. Some benefits were seen such as reduced length of stay for colorectal patients that may be associated with having a dedicated unit for elective robotic surgical services.
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Affiliation(s)
- Jeremy R Huddy
- Department of Colorectal Surgery, Frimley Park Hospital, Camberley, UK
- Department of Surgery & Cancer, Imperial College London, London, UK
| | - Matthew Crockett
- Frimley Renal Cancer Centre, Frimley Park Hospital, Camberley, UK
| | - A Shiyam Nizar
- Department of Colorectal Surgery, Frimley Park Hospital, Camberley, UK
| | - Ralph Smith
- Department of Colorectal Surgery, Frimley Park Hospital, Camberley, UK
| | - Manar Malki
- Frimley Renal Cancer Centre, Frimley Park Hospital, Camberley, UK
| | - Neil Barber
- Frimley Renal Cancer Centre, Frimley Park Hospital, Camberley, UK
| | - Henry S Tilney
- Department of Colorectal Surgery, Frimley Park Hospital, Camberley, UK.
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Georgescu DE, Vacaroiu IA, Mincă A, Maria-Daniela T, Droc G, Isac S, Tulin FR, Michire A, Georgescu MT, Ionescu D, Bogdan C, Georgescu TF. How COVID-19 Pandemics Changed the Treatment Protocols for Patients with Gynecological Tumors. ARS MEDICA TOMITANA 2021; 27:50-57. [DOI: 10.2478/arsm-2021-0010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Abstract
It was found that oncological patients are4 to 8 times more likely of developing severe forms of COVID-19 infection than other patients, so mortality is higher in patients with gyneco-logical cancer. Due to this pandemic, reported delays in diagnosis and treatment of genital cancer and changes in disease management, may influence the natural history of neoplasm. This fact adds more stress and fear for patients with neoplasms. Adequate protective measures are essen-tial for SARS CoV2 infection avoidance and lead to changes in healthcare professionals clinical practice. Prioritization is important, but direct personal interactions should be limited. However, gynecological tumors surgery, chemotherapy, and radiotherapy should continue as high priority practices, without essential modification. The conclusion is that COVID-19 pandemic has affect-ed many guides for management of diseases, especially oncological. Adaptations in clinical prac-tice may avoid viral infection and reduce mortality and severe complications.
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Affiliation(s)
- Dragoș-Eugen Georgescu
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
- Department of General Surgery , Hospital „Dr. I. Cantacuzino” , Bucharest , Romania
| | - Ileana Adela Vacaroiu
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
- Department of Nephrology and Dialysis , „St. Ioan” Emergency Clinical Hospital , Bucharest , Romania
| | - Alexandru Mincă
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
| | - Tanasescu Maria-Daniela
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
- Nephrology Department , University Emergency Hospital , Bucharest , Romania
| | - Gabriela Droc
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
- Ovidius Clinical Hospital , Constanta , Romania
| | - Sebastian Isac
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
- Department of Anesthesiology and Intensive Care I , Fundeni Clinial Institute , Bucharest , Romania
| | - Florentina-Raluca Tulin
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
- Emergency Clinical Hospital „Prof. Dr. Agrippa Ionescu” , Bucharest , Romania
| | - Alexandru Michire
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
| | - Mihai-Teodor Georgescu
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
- Oncological Institute Prof. Dr. Al.Trestioreanu , Bucharest , Romania
| | - Dorin Ionescu
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
- Nephrology Department , University Emergency Hospital , Bucharest , Romania
| | | | - Teodor-Florin Georgescu
- „Carol Davila” University of Medicine and Pharmacy , Faculty of Medicine
- Department of General Surgery - Bucharest Emergency Clinical Hospital , Romania
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Agrawal V, Yadav SK, Agarwal P, Sharma D. Strategies for Optimizing the Use of PPE During Surgery in COVID-19 Pandemic: Rapid Scoping Review of Guidelines. Indian J Surg 2021; 83:17-27. [PMID: 33424182 PMCID: PMC7785932 DOI: 10.1007/s12262-020-02713-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Accepted: 12/30/2020] [Indexed: 12/30/2022] Open
Abstract
Personal protective equipment (PPE) plays a fundamental role in the prevention of spread to Health Care Professionals (HCP) ; especially in a surgical setting. This scoping review of surgery guidelines was performed to appraise the quality of appropriate PPE recommendations and propose a strategy to optimize the PPE usage. This rapid scoping review of guidelines on surgery during COVID-19 was conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews protocol. Important databases were searched from January 1, 2020 to July 31, 2020, for relevant studies produced by a national/international academic association/organization, in English literature, using relevant keywords. Quality of evidence was graded according to GRADE guidelines. The searches yielded a total of 1725 studies, out of these 41 guidelines on surgery during COVID-19 matching with pre-defined criteria were evaluated. The level of evidence was uniformly rated "low," as assessed by GRADE guidelines and recommendations provided by them were mostly non-specific covering a narrow range of items. The crucial issue of optimization of PPE was not addressed at all. Economic implications demand optimization of PPE and conservation of resources. A simple decision-making algorithm addressing all the limitations of guidelines can be constructed, which allows HCPs to safeguard themselves and at the same time optimize/ conserving resources.
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Affiliation(s)
- Vikesh Agrawal
- Pediatric Surgery Division, Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Nagpur Road, Jabalpur, 482002 India
| | - Sanjay Kumar Yadav
- Pediatric Surgery Division, Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Nagpur Road, Jabalpur, 482002 India
| | - Pawan Agarwal
- Pediatric Surgery Division, Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Nagpur Road, Jabalpur, 482002 India
| | - Dhananjaya Sharma
- Pediatric Surgery Division, Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Nagpur Road, Jabalpur, 482002 India
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Somashekhar SP, Acharya R, Manjiri S, Talwar S, Ashwin KR, Rohit Kumar C. Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (Minimally Invasive Surgery: Laparoscopy and Robotic) during the COVID-19 Pandemic. Surg Innov 2021; 28:123-133. [PMID: 33026956 PMCID: PMC8685588 DOI: 10.1177/1553350620964323] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
It is inevitable that some patients with suspected or confirmed COVID-19 may require urgent surgical procedures. The objective of this review was to discuss the modifications required in the operating room during COVID-19 times for minimal access, laparoscopy, and robotic surgery, especially with regard to minimally invasive surgical instruments, buffalo filter, trocars with smoke evacuator, and special personal protection equipment. We have discussed the safety measures to be followed for the suspected or confirmed COVID-19 patient. In addition to surgical patients, health care workers should also protect themselves by following the guidelines and recommendations while treating these patients. Although there is little evidence of viral transmission through laparoscopic or open approaches, we recommend modifications to surgical practice such as the use of safe smoke evacuation and minimizing energy device use to reduce the risk of exposure to aerosolized particles to the health care team. Therefore, hospitals must follow specific protocols and arrange suitable training of the health care workers. Following well-established plans to accomplish un-deferrable surgeries in COVID-19-positive patients is strongly recommended.
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Affiliation(s)
- SP Somashekhar
- Department of Surgical Oncology, Manipal Hospital, Bengaluru, India
| | - Rudra Acharya
- Department of Surgical Oncology, Max Cancer Centre, New Delhi, India
| | - S Manjiri
- MSR Medical College, Bangalore, India
| | - Sumit Talwar
- Department of MAS and Bariatric Surgery, Manipal Hospital, Bengaluru, India
| | - KR Ashwin
- Department of Surgical Oncology, Manipal Hospital, Bengaluru, India
| | - C Rohit Kumar
- Department of Surgical Oncology, Manipal Hospital, Bengaluru, India
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Ayhan A, Oz M, Topfedaisi Ozkan N, Aslan K, Altintas MI, Akilli H, Demirtas E, Celik O, Ülgü MM, Birinci S, Meydanli MM. Perioperative SARS-CoV-2 infection among women undergoing major gynecologic cancer surgery in the COVID-19 era: A nationwide, cohort study from Turkey. Gynecol Oncol 2021; 160:499-505. [PMID: 33223221 PMCID: PMC7670981 DOI: 10.1016/j.ygyno.2020.11.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 11/12/2020] [Indexed: 12/19/2022]
Abstract
OBJECTIVE The objective of this study was to determine the rate of perioperative SARS-CoV-2 infection among gynecologic cancer patients undergoing major surgery. METHODS The database of the Turkish Ministry of Health was searched in order to identify all consecutive gynecologic cancer patients undergoing major surgery between March 11, 2020 and April 30, 2020 for this retrospective, nationwide, cohort study. The inclusion criteria were strictly founded on a final histopathological diagnosis of a malignant gynecologic tumor. COVID-19 cases were diagnosed by reverse transcriptase- polymerase chain reaction testing for SARS-CoV-2. The rate of perioperative SARS-CoV-2 infection and the 30-day mortality rate of COVID-19 patients were investigated. RESULTS During the study period, 688 women with gynecologic cancer undergoing major surgery were identified nationwide. The median age of the patients was 59 years. Most of the surgeries were open (634/688, 92.2%). There were 410 (59.6%) women with endometrial cancer, 195 (28.3%) with ovarian cancer, 66 (9.6%) with cervical cancer, 14 (2.0%) with vulvar cancer and 3 (0.4%) with uterine sarcoma. The rate of SARS-CoV-2 infections confirmed within 7 days before or 30 days after surgery was 46/688 (6.7%). All but one woman was diagnosed postoperatively (45/46, 97.8%). The rates of intensive care unit admission and invasive mechanical ventilation were 4/46 (8.7%) and 2/46 (4.3%), respectively. The 30-day mortality rate was 0%. CONCLUSION In the COVID-19 era, gynecologic cancer surgery may be performed with an acceptable rate of perioperative SARS-CoV-2 infection if the staff and the patients strictly adhere to the established infection control measures.
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Affiliation(s)
- Ali Ayhan
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Başkent University, Ankara, Turkey
| | - Murat Oz
- Department of Gynecologic Oncology, Ankara City Hospital, Faculty of Medicine, University of Health Sciences, Ankara, Turkey.
| | - Nazli Topfedaisi Ozkan
- Department of Obstetrics and Gynecology, Ankara Education and Training Hospital, University of Health Sciences, Ankara, Turkey
| | - Koray Aslan
- Department of Gynecologic Oncology, Ankara City Hospital, Faculty of Medicine, University of Health Sciences, Ankara, Turkey
| | - Müfide Iclal Altintas
- Department of Obstetrics and Gynecology, Ankara City Hospital, Faculty of Medicine, University of Health Sciences, Ankara, Turkey
| | - Hüseyin Akilli
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Başkent University, Ankara, Turkey
| | - Erdal Demirtas
- General Directorate of Information Systems, Ministry of Health, Republic of Turkey, Ankara, Turkey
| | - Osman Celik
- General Directorate of Public Hospitals, Ministry of Health, Republic of Turkey, Ankara, Turkey
| | - Mustafa Mahir Ülgü
- General Directorate of Information Systems, Ministry of Health, Republic of Turkey, Ankara, Turkey
| | - Suayip Birinci
- Deputy Minister of Health, Ministry of Health, Republic of Turkey, Ankara, Turkey
| | - Mehmet Mutlu Meydanli
- Department of Gynecologic Oncology, Ankara City Hospital, Faculty of Medicine, University of Health Sciences, Ankara, Turkey
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Uecker JM, Fagerberg A, Ahmad N, Cohen A, Gilkey M, Alembeigi F, Idelson CR. Stop the leak!: Mitigating potential exposure of aerosolized COVID-19 during laparoscopic surgery. Surg Endosc 2021; 35:493-501. [PMID: 32974779 PMCID: PMC7513904 DOI: 10.1007/s00464-020-08006-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Accepted: 09/16/2020] [Indexed: 12/24/2022]
Abstract
BACKGROUND Viral particles have been shown to aerosolize into insufflated gas during laparoscopic surgery. In the operating room, this potentially exposes personnel to aerosolized viruses as well as carcinogens. In light of circumstances surrounding COVID-19 and a concern for the safety of healthcare professionals, our study seeks to quantify the volumes of gas leaked from dynamic interactions between laparoscopic instruments and the trocar port to better understand potential exposure to surgically aerosolized particles. METHODS A custom setup was constructed to simulate an insufflated laparoscopic surgical cavity. Two surgical instrument use scenarios were examined to observe and quantify opportunities for insufflation gas leakage. Both scenarios considered multiple configurations of instrument and trocar port sizes/dimensions: (1) the full insertion and full removal of a laparoscopic instrument from the port and (2) the movement of the scope within the port, recognized as "dynamic interaction", which occurs nearly 100% of the time over the course of any procedure. RESULTS For a 5 mm instrument in a 5 mm trocar, the average volume of gas leaked during dynamic interaction and full insertion/removal scenarios were 43.67 and 25.97 mL of gas, respectively. Volume of gas leaked for a 5 mm instrument in a 12 mm port averaged 41.32 mL and 29.47 for dynamic interaction vs. instrument insertion and removal. Similar patterns were shown with a 10 mm instrument in 12 mm port, with 55.68 mL for the dynamic interaction and 58.59 for the instrument insertion/removal. CONCLUSIONS Dynamic interactions and insertion/removal events between laparoscopic instruments and ports appear to contribute to consistent leakage of insufflated gas into the OR. Any measures possible taken to reduce OR gas leakage should be considered in light of the current COVID-19 pandemic. Minimizing laparoscope and instrument removal and replacement would be one strategy to mitigate gas leakage during laparoscopic surgery.
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Affiliation(s)
- John M Uecker
- ClearCam Inc, Austin, TX, 78744, USA
- Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, 78712, USA
| | | | | | - Alexander Cohen
- Department of Mechanical Engineering, The University of Texas at Austin, Austin, TX, 78712, USA
| | | | - Farshid Alembeigi
- Department of Mechanical Engineering, The University of Texas at Austin, Austin, TX, 78712, USA
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Shen Y, Guo D, Long F, Mateos LA, Ding H, Xiu Z, Hellman RB, King A, Chen S, Zhang C, Tan H. Robots Under COVID-19 Pandemic: A Comprehensive Survey. IEEE ACCESS : PRACTICAL INNOVATIONS, OPEN SOLUTIONS 2020; 9:1590-1615. [PMID: 34976569 PMCID: PMC8675561 DOI: 10.1109/access.2020.3045792] [Citation(s) in RCA: 54] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 12/08/2020] [Indexed: 05/04/2023]
Abstract
As a result of the difficulties brought by COVID-19 and its associated lockdowns, many individuals and companies have turned to robots in order to overcome the challenges of the pandemic. Compared with traditional human labor, robotic and autonomous systems have advantages such as an intrinsic immunity to the virus and an inability for human-robot-human spread of any disease-causing pathogens, though there are still many technical hurdles for the robotics industry to overcome. This survey comprehensively reviews over 200 reports covering robotic systems which have emerged or have been repurposed during the past several months, to provide insights to both academia and industry. In each chapter, we cover both the advantages and the challenges for each robot, finding that robotics systems are overall apt solutions for dealing with many of the problems brought on by COVID-19, including: diagnosis, screening, disinfection, surgery, telehealth, care, logistics, manufacturing and broader interpersonal problems unique to the lockdowns of the pandemic. By discussing the potential new robot capabilities and fields they applied to, we expect the robotics industry to take a leap forward due to this unexpected pandemic.
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Affiliation(s)
- Yang Shen
- UBTECH North America Research and Development CenterPasadenaCA91101USA
| | - Dejun Guo
- UBTECH North America Research and Development CenterPasadenaCA91101USA
| | - Fei Long
- UBTECH North America Research and Development CenterPasadenaCA91101USA
| | - Luis A. Mateos
- UBTECH North America Research and Development CenterPasadenaCA91101USA
| | - Houzhu Ding
- UBTECH North America Research and Development CenterPasadenaCA91101USA
| | - Zhen Xiu
- UBTECH North America Research and Development CenterPasadenaCA91101USA
| | | | - Adam King
- UBTECH North America Research and Development CenterPasadenaCA91101USA
| | - Shixun Chen
- UBTECH North America Research and Development CenterPasadenaCA91101USA
| | - Chengkun Zhang
- UBTECH North America Research and Development CenterPasadenaCA91101USA
| | - Huan Tan
- UBTECH North America Research and Development CenterPasadenaCA91101USA
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Gynecological Surgery and Its Five Steps Towards Resilience: Minimally Invasive Approach in the COVID-19 Era. THE JOURNAL OF MINIMALLY INVASIVE SURGERY 2020; 23:153-158. [PMID: 35601632 PMCID: PMC8985628 DOI: 10.7602/jmis.2020.23.4.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 11/27/2020] [Accepted: 11/27/2020] [Indexed: 11/29/2022]
Abstract
After the declaration of the coronavirus disease 2019 (COVID-19) pandemic, gynecological surgery joins the readjustment process that this great global health crisis implies. In the light of current literature, the five steps towards its resilience are described as below; (1) Dynamic prioritization of surgical indications and reintroduction of elective surgeries: Diverse surgical prioritization lists are published including the most common gynecological pathologies. (2) Minimally invasive surgery through laparoscopy and robotic assistance: Some authors suggest a theoretical but unproven risk of viral transmission during these approaches because of the aerosol generation. These theories are opposed to the well-proven advantages of these approaches compared to open surgery. (3) Optimization of surgical procedures, according to the recommendations of different societies aimed at reducing the dispersion of aerosols and surgical smoke. (4) Clinical, epidemiological and microbiological screening of all patients awaiting prompt surgery: This screening should be adapted to the local alert state. (5) Protection through the reduction of number of persons present in the operating room, and the use of adapted personal protective equipment according to physical proximity to the patient.
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Amicucci M, Mastronuzzi A, Ciaralli I, Piccioni F, Schiopu AC, Tiozzo E, Gawronski O, Biagioli V, Dall’Oglio I. The Management of Children with Cancer during the COVID-19 Pandemic: A Rapid Review. J Clin Med 2020; 9:E3756. [PMID: 33233447 PMCID: PMC7700610 DOI: 10.3390/jcm9113756] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 11/18/2020] [Accepted: 11/19/2020] [Indexed: 12/11/2022] Open
Abstract
Despite the fact that cancer patients seem to be at a higher risk of being infected with SARS-CoV-2, limited data are available in the pediatric oncology setting. A systematic rapid review was conducted to analyze scientific literature regarding the management, interventions, and strategies adopted to prevent the spread of COVID-19 in the pediatric cancer population. Our search on PubMed, Scopus, Cochrane, and EMBASE databases yielded 505 articles. After removing duplicates, 21 articles were included. Articles focused on infection prevention (n = 19; 90.5%), management (n = 18; 85.7%), overall management of specific treatments for cancer (n = 13; 61.9%), and education (n = 7; 33.3%). The interventions adopted to prevent the spread of COVID-19 were similar across organizations and in line with general recommendations. Most of them reported interventions that could be used as valid strategies for similar emergencies. The strategies included limiting the risk of contagion by restricting access to the wards and implementing hygiene measures, the identification of separate pathways for the management of patients suspected or confirmed to be infected with COVID-19, the postponement of people accessing the hospital for non-urgent or unnecessary tests or medical examinations, and the preventive screening of patients before chemotherapy treatment or transplantation of hematopoietic stem cells. It is necessary to identify key indicators in order to better evaluate the effectiveness of the interventions implemented over time. A summary of the recommendations is provided.
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Affiliation(s)
- Matteo Amicucci
- Department of Onco Haematology and Cell and Gene Therapy, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy; (A.M.); (I.C.); (F.P.)
| | - Angela Mastronuzzi
- Department of Onco Haematology and Cell and Gene Therapy, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy; (A.M.); (I.C.); (F.P.)
| | - Italo Ciaralli
- Department of Onco Haematology and Cell and Gene Therapy, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy; (A.M.); (I.C.); (F.P.)
| | - Federico Piccioni
- Department of Onco Haematology and Cell and Gene Therapy, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy; (A.M.); (I.C.); (F.P.)
| | | | - Emanuela Tiozzo
- Professional Development, Continuing Education and Nursing Research Service, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy; (E.T.); (O.G.); (V.B.); (I.D.)
| | - Orsola Gawronski
- Professional Development, Continuing Education and Nursing Research Service, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy; (E.T.); (O.G.); (V.B.); (I.D.)
| | - Valentina Biagioli
- Professional Development, Continuing Education and Nursing Research Service, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy; (E.T.); (O.G.); (V.B.); (I.D.)
| | - Immacolata Dall’Oglio
- Professional Development, Continuing Education and Nursing Research Service, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy; (E.T.); (O.G.); (V.B.); (I.D.)
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Javaid M, Haleem A, Vaish A, Vaishya R, Iyengar KP. Robotics Applications in COVID-19: A Review. JOURNAL OF INDUSTRIAL INTEGRATION AND MANAGEMENT-INNOVATION AND ENTREPRENEURSHIP 2020. [DOI: 10.1142/s2424862220300033] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The COVID-19 outbreak has resulted in the manufacturing and service sectors being badly hit globally. Since there are no vaccines or any proven medical treatment available, there is an urgent need to take necessary steps to prevent the spread of this virus. As the virus spreads with human-to-human interaction, lockdown has been declared in many countries, and the public is advised to observe social distancing strictly. Robots can undertake human-like activities and can be gainfully programmed to replace some of the human interactions. Through this paper, we identify and propose the introduction of robots to take up this challenge in the fight against the COVID-19 pandemic. We did a comprehensive review of the literature to identify robots’ possible applications in the management of epidemics and pandemics of this nature. We have reviewed the available literature through the search engines of PubMed, SCOPUS, Google Scholar, and Research Gate. A comprehensive review of the literature identified different types of robots being used in the medical field. We could find several vital applications of robots in the management of the COVID-19 pandemic. No doubt technology comes with a cost. In this paper, we identified how different types of robots are used gainfully to deliver medicine, food, and other essential items to COVID-19 patients who are under quarantine. Therefore, there is extensive scope for customising robots to undertake hazardous and repetitive jobs with precision and reliability.
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Affiliation(s)
- Mohd Javaid
- Department of Mechanical Engineering, Jamia Millia Islamia, New Delhi, India
| | - Abid Haleem
- Department of Mechanical Engineering, Jamia Millia Islamia, New Delhi, India
| | - Abhishek Vaish
- Department of Orthopaedics, Indraprastha Apollo Hospital, SaritaVihar, Mathura Road, 110076, New Delhi, India
| | - Raju Vaishya
- Department of Orthopaedics, Indraprastha Apollo Hospital, SaritaVihar, Mathura Road, 110076, New Delhi, India
| | - Karthikeyan P Iyengar
- FRCS (Tr & Orth), Trauma and Orthopaedic Surgeon, Southport and ORMSKIRK NHS Trust, Southport, UK, PR8 6 PN, UK
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Asadzadeh A, Pakkhoo S, Saeidabad MM, Khezri H, Ferdousi R. Information technology in emergency management of COVID-19 outbreak. INFORMATICS IN MEDICINE UNLOCKED 2020; 21:100475. [PMID: 33204821 PMCID: PMC7661942 DOI: 10.1016/j.imu.2020.100475] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Revised: 11/05/2020] [Accepted: 11/06/2020] [Indexed: 12/20/2022] Open
Abstract
Emergency management of the emerging infectious disease outbreak is critical for public health threats. Currently, control of the COVID-19 outbreak is an international concern and has become a crucial challenge in many countries. This article reviews significant information technologyIT) applications in emergency management of COVID-19 by considering the prevention/mitigation, preparedness, response, and recovery phases of the crisis. This review was conducted using MEDLINE PubMed), Embase, IEEE, and Google Scholar. Expert opinions were collected to show existence gaps, useful technologies for each phase of emergency management, and future direction. Results indicated that various IT-based systems such as surveillance systems, artificial intelligence, computational methods, Internet of things, remote sensing sensor, online service, and GIS geographic information system) could have different outbreak management applications, especially in response phases. Information technology was applied in several aspects, such as increasing the accuracy of diagnosis, early detection, ensuring healthcare providers' safety, decreasing workload, saving time and cost, and drug discovery. We categorized these applications into four core topics, including diagnosis and prediction, treatment, protection, and management goals, which were confirmed by five experts. Without applying IT, the control and management of the crisis could be difficult on a large scale. For reducing and improving the hazard effect of disaster situations, the role of IT is inevitable. In addition to the response phase, communities should be considered to use IT capabilities in prevention, preparedness, and recovery phases. It is expected that IT will have an influential role in the recovery phase of COVID-19. Providing IT infrastructure and financial support by the governments should be more considered in facilitating IT capabilities.
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Affiliation(s)
- Afsoon Asadzadeh
- Department of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Saba Pakkhoo
- Department of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahsa Mirzaei Saeidabad
- Department of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Hero Khezri
- Department of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Reza Ferdousi
- Department of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
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Bogani G, Apolone G, Ditto A, Scambia G, Panici PB, Angioli R, Pignata S, Greggi S, Scollo P, Delia M, Franchi M, Martinelli F, Signorelli M, Lopez S, Di Donato V, Valabrega G, Ferrandina G, Palaia I, Bergamini A, Bocciolone L, Savarese A, Ghezzi F, Casarin J, Pinelli C, Trojano V, Chiantera V, Giorda G, Sopracordevole F, Malzoni M, Salerno G, Sartori E, Testa A, Zannoni G, Zullo F, Vizza E, Trojano G, Chiantera A, Raspagliesi F. Impact of COVID-19 in gynecologic oncology: a Nationwide Italian Survey of the SIGO and MITO groups. J Gynecol Oncol 2020; 31:e92. [PMID: 33078597 PMCID: PMC7593217 DOI: 10.3802/jgo.2020.31.e92] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 07/29/2020] [Accepted: 08/09/2020] [Indexed: 12/22/2022] Open
Abstract
Objective Coronavirus disease 2019 (COVID-19) has caused rapid and drastic changes in cancer management. The Italian Society of Gynecology and Obstetrics (SIGO), and the Multicenter Italian Trials in Ovarian cancer and gynecologic malignancies (MITO) promoted a national survey aiming to evaluate the impact of COVID-19 on clinical activity of gynecologist oncologists and to assess the implementation of containment measures against COVID-19 diffusion. Methods The survey consisted of a self-administered, anonymous, online questionnaire. The survey was sent via email to all the members of the SIGO, and MITO groups on April 7, 2020, and was closed on April 20, 2020. Results Overall, 604 participants completed the questionnaire with a response-rate of 70%. The results of this survey suggest that gynecologic oncology units had set a proactive approach to COVID-19 outbreak. Triage methods were adopted in order to minimize in-hospital diffusion of COVID-19. Only 38% of gynecologic surgeons were concerned about COVID-19 outbreak. Although 73% of the participants stated that COVID-19 has not significantly modified their everyday practice, 21% declared a decrease of the use of laparoscopy in favor of open surgery (19%). However, less than 50% of surgeons adopted specific protection against COVID-19. Additionally, responders suggested to delay cancer treatment (10%–15%), and to perform less radical surgical procedures (20%–25%) during COVID-19 pandemic. Conclusions National guidelines should be implemented to further promote the safety of patients and health care providers. International cooperation is of paramount importance, as heavily affected nations can serve as an example to find out ways to safely preserve clinical activity during the COVID-19 outbreak.
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Affiliation(s)
- Giorgio Bogani
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
| | - Giovanni Apolone
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
| | - Antonino Ditto
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
| | - Giovanni Scambia
- UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Roma, Italy
| | - Pierluigi Benedetti Panici
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - Roberto Angioli
- Department of Gynecology, Università Campus Bio-Medico, Rome, Italy
| | - Sandro Pignata
- Urogynaecological Medical Oncology Unit Istituto Nazionale Tumori, IRCCS, Naples, Italy
| | - Stefano Greggi
- Urogynaecological Medical Oncology Unit Istituto Nazionale Tumori, IRCCS, Naples, Italy
| | - Paolo Scollo
- Department of Gynecology, Cannizzaro Hospital, Catania, Italy
| | | | - Massimo Franchi
- Department of Obstetrics and Gynaecology, AOUI Verona, University of Verona, Verona, Italy
| | - Fabio Martinelli
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
| | - Mauro Signorelli
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
| | - Salvatore Lopez
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
| | - Violante Di Donato
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - Giorgio Valabrega
- Candiolo Cancer Institute, FPO, IRCCS, Candiolo, Italy.,Department of Oncology, University of Torino, Torino, Italy
| | - Gabriella Ferrandina
- UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Roma, Italy
| | - Innocenza Palaia
- Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - Alice Bergamini
- Obstetrics and Gynecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Luca Bocciolone
- Obstetrics and Gynecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Antonella Savarese
- Oncologia Medica 1, IRCCS Istituto Nazionale Tumori Regina Elena, Roma, Italy
| | - Fabio Ghezzi
- Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy
| | - Jvan Casarin
- Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy
| | - Ciro Pinelli
- Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy
| | - Vito Trojano
- Department of Obstetrics and Gynaecology, Mater Dei Hospital, Bari, Italy
| | - Vito Chiantera
- Department of Gynecologic Oncology, University of Palermo, Palermo, Italy
| | - Giorgio Giorda
- Gynaecological Oncology Unit, Centro di Riferimento Oncologico (CRO) di Aviano, IRCCS, Aviano, Italy
| | - Francesco Sopracordevole
- Gynaecological Oncology Unit, Centro di Riferimento Oncologico (CRO) di Aviano, IRCCS, Aviano, Italy
| | - Mario Malzoni
- Endoscopica Malzoni, Center for Advanced Endoscopic Gynecological Surgery, Avellino, Italy
| | - Giovanna Salerno
- Department of Gynecology, San Camillo-Forlanini Hospital, Rome, Italy
| | - Enrico Sartori
- Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
| | - Antonia Testa
- UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Roma, Italy
| | - Gianfranco Zannoni
- UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Roma, Italy
| | - Fulvio Zullo
- Gynecology and Obstetrics Unit, Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Enrico Vizza
- Gynecologic Oncology Unit, Department of Experimental Clinical Oncology, IRCCS Regina Elena National Cancer Institute, Rome, Italy
| | - Giuseppe Trojano
- Department of Obstetrics and Gynecology, University Medical School "A. Moro", Bari, Italy
| | - Antonio Chiantera
- President of the Scientific Society, Italian Society of Gynecology and Obstetrics (SIGO), Bologna, Italy
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Bhaskar S, Bradley S, Sakhamuri S, Moguilner S, Chattu VK, Pandya S, Schroeder S, Ray D, Banach M. Designing Futuristic Telemedicine Using Artificial Intelligence and Robotics in the COVID-19 Era. Front Public Health 2020; 8:556789. [PMID: 33224912 PMCID: PMC7667043 DOI: 10.3389/fpubh.2020.556789] [Citation(s) in RCA: 49] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 10/07/2020] [Indexed: 12/17/2022] Open
Abstract
Technological innovations such as artificial intelligence and robotics may be of potential use in telemedicine and in building capacity to respond to future pandemics beyond the current COVID-19 era. Our international consortium of interdisciplinary experts in clinical medicine, health policy, and telemedicine have identified gaps in uptake and implementation of telemedicine or telehealth across geographics and medical specialties. This paper discusses various artificial intelligence and robotics-assisted telemedicine or telehealth applications during COVID-19 and presents an alternative artificial intelligence assisted telemedicine framework to accelerate the rapid deployment of telemedicine and improve access to quality and cost-effective healthcare. We postulate that the artificial intelligence assisted telemedicine framework would be indispensable in creating futuristic and resilient health systems that can support communities amidst pandemics.
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Affiliation(s)
- Sonu Bhaskar
- Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Study Group, Sydney, NSW, Australia
- Neurovascular Imaging Laboratory & NSW Brain Clot Bank, Department of Neurology, Liverpool Hospital and South Western Sydney Local Health District, Ingham Institute for Applied Medical Research, The University of New South Wales, Sydney, NSW, Australia
| | - Sian Bradley
- Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Study Group, Sydney, NSW, Australia
- The University of New South Wales (UNSW) Medicine Sydney, South West Sydney Clinical School, Sydney, NSW, Australia
| | - Sateesh Sakhamuri
- Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Study Group, Sydney, NSW, Australia
- The University of the West Indies, St. Augustine, Trinidad and Tobago
| | - Sebastian Moguilner
- Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Study Group, Sydney, NSW, Australia
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
| | - Vijay Kumar Chattu
- Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Study Group, Sydney, NSW, Australia
- Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada
| | - Shawna Pandya
- Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Study Group, Sydney, NSW, Australia
- Alberta Health Services and Project PoSSUM, University of Alberta, Edmonton, AB, Canada
| | - Starr Schroeder
- Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Study Group, Sydney, NSW, Australia
- Penn Medicine Lancaster General Hospital and Project PoSSUM, Lancaster, PA, United States
| | - Daniel Ray
- Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Study Group, Sydney, NSW, Australia
- Farr Institute of Health Informatics, University College London (UCL) & NHS Foundation Trust, Birmingham, United Kingdom
| | - Maciej Banach
- Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Study Group, Sydney, NSW, Australia
- Polish Mother's Memorial Hospital Research Institute (PMMHRI) in Lodz, Cardiovascular Research Centre, University of Zielona Gora, Zielona Gora, Poland
- Department of Hypertension, Medical University of Lodz, Łódź, Poland
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Ghazali WAHW, Nallaluthan P, Hasan RZ, Adlan AS, Boon NK. Gynecological Endoscopic Society of Malaysia Statement and Recommendations on Gynecological Laparoscopic Surgery during COVID-19 Pandemic. Gynecol Minim Invasive Ther 2020; 9:185-189. [PMID: 33312860 PMCID: PMC7713654 DOI: 10.4103/gmit.gmit_109_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 08/12/2020] [Accepted: 08/26/2020] [Indexed: 12/24/2022] Open
Abstract
Objectives: While the issue of aerosolization of virus from the blood occurs during usage of energy sources scare practitioners, there have been no reported instances of healthcare workers (HCWs) being infected. COVID-19 virus is primarily transmitted via respiratory droplets and contact routes. Therefore, the ultimate decision for surgery, should be based on which is the safest, quickest route and concurrently ensuring that HCWs are protected during these surgeries. During the time of crisis, HCWs need to concentrate and channel resources to the care of those affected by the coronavirus hence judicious allocation of resources is mandatory. We present the guidelines and recommendations on gynecological laparoscopic surgery during this COVID-19 outbreak in Malaysia. Materials and Methods: Thorough search of articles and recommendations were done to look into the characteristics of the virus in terms of transmission and risks during surgery. Smoke plume characteristics, composition and risk of viral transmission were also studied. Search includes The WHO Library, Cochrane Library and electronic databases (PubMed, Google scholar and Science Direct). Conclusion: We concluded that there is no scientific basis of shunning laparoscopic approach in surgical intervention. Ultimately, the guiding principles would be of reducing the anesthetic and surgical duration, the availability of full protective gear for HCWs during the surgery and the status of the patient. It is mandatory for viral swab tests to be done within the shortest window period possible, for all cases planned for surgery.
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Affiliation(s)
- Wan Ahmad Hazim Wan Ghazali
- Department of Obstetrics and Gynecology, Putrajaya Hospital, Pusat Pentadbiran Kerajaan Persekutuan, Putrajaya, Malaysia
| | - Pavani Nallaluthan
- Department of Obstetrics and Gynecology, Putrajaya Hospital, Pusat Pentadbiran Kerajaan Persekutuan, Putrajaya, Malaysia
| | - Raimi Zamriah Hasan
- Department of Obstetrics and Gynecology, Putrajaya Hospital, Pusat Pentadbiran Kerajaan Persekutuan, Putrajaya, Malaysia
| | - Aizura Syafinaz Adlan
- Department of Obstetrics and Gynecology, University Malaya Medical Centre, Kuala Lumpur, Malaysia
| | - Ng Kwee Boon
- Department of Obstetrics and Gynecology, Tung Shin Hospital, Kuala Lumpur, Malaysia
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Lamblin G, Golfier F, Peron J, Moret S, Chene G, Nohuz E, Lebon M, Dubernard G, Cortet M. [Impact of the COVID-19 Outbreak on the management of patients with gynecological cancers]. ACTA ACUST UNITED AC 2020; 48:777-783. [PMID: 33010487 PMCID: PMC7526595 DOI: 10.1016/j.gofs.2020.09.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Indexed: 01/20/2023]
Abstract
OBJECTIVE The exceptional health situation related to the SARS-Cov2 coronavirus pandemic (COVID-19) required a deep and very quickly adaptation of management practices in gynecological cancer. The main objective is to estimate the proportion of patients with treatment modifications. METHOD This is a multicenter prospective study conducted in 3 university gynecological cancer departments (HCLyon, France) during the period of confinement (March 16 to May 11, 2020). All patients with non-metastatic breast cancer or gynecological cancer were included. The planned treatment, postponement, delay and organizational modifications (RCP, teleconsultations) were studied. RESULTS Two hundred and five consecutive patients were included, average age 60.5±1.0. 7 patients (3.4%) had SARS-Cov-2 infection, 2 patients died. One hundred and twenty-two patients (59.5%) had a treatment maintained, 72 patients (35.1%) postponed, 11 patients (5.4%) cancelled. Of the 115 (56.1%) planned surgeries, 40 (34.8%) postponed, 7 cancelled (6.1%). 9 patients (7.8%) had a surgical modification. Of the 59 (28.8%) radiotherapy treatments scheduled, 24 (40.7%) postponed and 2 (3.4%) cancelled. Of the 56 (27.3%) chemotherapy treatment planned, 8 (14.3%) postponed and 2 (3.6%) cancelled. One hundred and forty-five patients (70.7%) have been discussed in multidisciplinary meeting. One hundred and fifty-eight patients (77%) had a teleconsultation system. CONCLUSION Our study assessed the impact of the COVID-19 pandemic on therapeutic management of patients with gynecological cancer during the period of confinement. This will probably improve our management of an eventual epidemic rebound or future health crisis.
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Affiliation(s)
- G Lamblin
- Service de chirurgie gynécologique, hôpital Femme Mère-Enfant, hospices civils de Lyon, 59, boulevard Pinel, 69677 Bron, France; Université Claude-Bernard Lyon 1, Lyon, France.
| | - F Golfier
- Service de chirurgie gynécologique, centre hospitalier Lyon Sud, hospices civils de Lyon, Pierre-Bénite, France
| | - J Peron
- Service d'oncologie médicale, centre hospitalier Lyon Sud, hospices civils de Lyon, Pierre-Bénite, France
| | - S Moret
- Service de chirurgie gynécologique, hôpital Femme Mère-Enfant, hospices civils de Lyon, 59, boulevard Pinel, 69677 Bron, France
| | - G Chene
- Service de chirurgie gynécologique, hôpital Femme Mère-Enfant, hospices civils de Lyon, 59, boulevard Pinel, 69677 Bron, France
| | - E Nohuz
- Service de chirurgie gynécologique, hôpital Femme Mère-Enfant, hospices civils de Lyon, 59, boulevard Pinel, 69677 Bron, France
| | - M Lebon
- Service de radiothérapie, centre hospitalier Lyon Sud, hospices civils de Lyon, Pierre-Bénite, France
| | - G Dubernard
- Service de chirurgie gynécologique, hôpital de la Croix Rousse, hospices civils de Lyon, Lyon, France
| | - M Cortet
- Service de chirurgie gynécologique, hôpital de la Croix Rousse, hospices civils de Lyon, Lyon, France
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Dulai R, Hadjivassilev S, Veasey RA, Patel N, Furniss S. Utilising video technology in the cardiac catheter lab and operating theatre during the COVID-19 pandemic. Future Healthc J 2020; 7:e39-e40. [DOI: 10.7861/fhj.2020-0051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Shamsudin AUB, Seng CK, Rahman HBA, Hanafi D, Poad HBM. Development of 7 DOF Robotic Arm with Electronic Bluetooth Stethoscope for COVID Patient Medical Assesment. 2020 IEEE STUDENT CONFERENCE ON RESEARCH AND DEVELOPMENT (SCORED) 2020. [DOI: 10.1109/scored50371.2020.9250965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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