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Delaying Surgery after COVID - 19

Published on Feb 11, 2022   -  4 min read

Abstract

The surgery between 0 to 6 weeks after the diagnosis of SARS-CoV-2 is associated with an increased mortality rate. Read the below article to know more.

Contents
Delaying Surgery after COVID - 19

What Is SARS-CoV-2 or COVID-19?

Coronavirus is a family of viruses that could cause illnesses, such as severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), and the common cold. SARS-CoV-2 is an abbreviation of the severe acute respiratory syndrome coronavirus 2. It is the virus that can cause the disease COVID-19 in humans. Initially, a new coronavirus was identified in 2019 as the cause of a disease outbreak that originated in China. New international research was published in the Anesthetists journal that surgery should be delayed for seven weeks once the patient tests positive for SARS-CoV-2. Vaccination is also likely to reduce postoperative pulmonary complications, decreasing intensive care use and overall healthcare costs.

What Is Elective Surgery?

Elective surgery is a surgery that is scheduled in advance because it does not involve a medical emergency. Since it is a non-emergency surgery, it allows the patient and the doctor to decide the best time and place for it. These surgeries are done with advanced planning, for example, cholecystectomy, hernia repair, coronary artery bypass, colonic resection, etc.

Why Should the Patient Wait for Surgery After the Diagnosis of COVID-19?

A new study has suggested that those diagnosed with COVID-19 are expected to wait at least seven weeks before getting the surgery done to avoid a higher risk of postoperative death.

How Long Should the Patient Wait for the Surgery After COVID-19?

When a patient has tested positive for SARS-CoV-2, the doctor should postpone the elective surgical procedures until the patient is no longer contagious and has been cured of COVID-19.

What Are the Precautions to Be Taken for Elective Surgery Patients With COVID-19?

The CDC has guidance for those exposed to a person with symptomatic COVID-19 during 48 hours before symptoms onset until that person meets the criteria for discontinuing home isolation. These patients should be directed as follows:

What Are Surgeries That Can Be Delayed in the Case of COVID-19?

The COVID-19 Pandemic has impacted health care in many ways. This has frequently led to a long interval in non-urgent surgeries. If you have surgery that is not urgently needed (for example, elective surgery), your surgeon may advise waiting until the Pandemic ends.

Your surgeon may opt to delay an elective surgery to help:

For example, a surgery that requires general anesthesia needs a ventilator to help people breathe during the procedures and when these ventilators are required for someone with severe conditions of COVID-19 infection. Nowadays, hospitals and their staff are taking careful steps to keep you safe, which is best for your health if you need surgery.

Each surgery is viewed on an individual basis. Decisions may differ among hospitals and over the country. Some elective or non-emergency surgeries can be postponed without a scheduled date, making you feel worried. Your surgeon will carefully analyze the risks of delay in having the surgery during this Pandemic. Your surgery will only be postponed if it does not put your health at risk or allow your condition to worsen. You and your surgeon will decide the safest path for you, whether moving ahead with the surgery or delaying. Studies have shown that delaying surgery for earlier stage cancer types between 3 and 6 months did not affect survival rates or recurrence rates. There may also be other therapy types that can slow down cancer growth while waiting for the surgery. If you require surgery to treat cancer, your surgeon will analyze factors such as your cancer stage and how fast it grows or spreads. Surgery may be instantly needed for people with some types of cancer.

Conclusion:

Do things that can keep your immune system at its peak, eat healthily, get proper sleep, and exercise to overcome this deadly disease. The decision to go for surgery after COVID-19 depends on the severity of the infection, comorbidity, and duration of the illness, which is different for each person. So when surgery is appropriate after COVID-19 needs to be decided on a case-by-case basis.

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Last reviewed at:
11 Feb 2022  -  4 min read

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