Short Term Outcomes of Head and Neck Oncology Surgery During Covid-19 Pandemic: Experience from a Tertiary Cancer Care Centre in North India

被引:0
作者
Sumeet Jain
Sumit Gupta
Tejinder Pal Singh
Kavita Chhabra
Richa Jain
Akashdeep Singh Sohi
Deepender Kaur Chhina
Gurpreet Singh Brar
Rajinder Kumar Mittal
Parshotam Lal Gautam
机构
[1] DMCH Cancer Care Centre,Department of Surgical Oncology
[2] Dayanand Medical College and Hospital (DMCH),Department of Critical Care Medicine
[3] Dayanand Medical College and Hospital (DMCH),Department of Anaesthesia
[4] Dayanand Medical College and Hospital (DMCH),Department of Microbiology
[5] Dayanand Medical College and Hospital (DMCH),Department of Plastic Surgery
来源
Indian Journal of Otolaryngology and Head & Neck Surgery | 2022年 / 74卷
关键词
Head and neck cancer surgery; COVID-19;
D O I
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中图分类号
学科分类号
摘要
With the entire world in the midst of COVID-19 pandemic, several health care facilities have stopped or delayed performing elective surgeries in order to cater to ever increasing number of COVID-19 patients. Moreover, there were initial reports of poor surgical outcomes in patients who underwent surgery and were found to be positive for COVID-19 infection in post-operative period. In this study, we have evaluated the short-term outcomes of head and neck oncology patients operated in our institute following a strict screening protocol and conducting COVID-19 testing by Reverse transcriptase polymerase chain reaction once the test was available. 68 patients operated between 1st April and 30th September, 2020 (COVID-19 era, study group) were compared with 59 patients operated during 1st October, 2019 to 31st March 2020 (Non COVID-19 era, control group). The comparison between the groups was done by measuring 30 days complication rate as defined by Dindo–Clavien classification. 10.3% of patients developed complications in study group as compared to 8.5% of patients in control group which was statistically non-significant (p = 0.7). Importantly, none of the patients developed any sign or symptom suggestive of COVID-19 infection in post-operative period in study group. Head and neck oncology related cancer procedures including complex reconstruction can safely be performed during COVID-19 era by proper screening and pre-operative testing for COVID-19. We also suggest use of N95 masks and face shields as bare minimum in order to ensure the safety of health care workers even after a negative COVID-19 report.
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页码:2822 / 2826
页数:4
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