Consideration of diagnosis and treatment for hernia and surgical diseases of the abdominal wall under outbreak of novel coronavirus pneumonia
ZHOU Taicheng, YU Hongyan, CHEN Shuang
(Department of gastrointestinal, Hernia and Abdominal Wall Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University/Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangzhou 510655, China)
Abstract Currently, the epidemic of novel coronavirus pneumonia (NCP) is still ongoing. The pathogen of this disease was newly named as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Hernia and abdominal wall diseases, as common disorders among population, are likely need emergency surgery. Under the new situation of NCP outbreak, surgeons who practice surgery for hernia and abdominal wall diseases should properly conduct the classified diagnosis and treatment of the hernia and abdominal wall disease, and select the appropriate surgical procedure, following the guidelines and routine diagnosis and treatment methods and complying with the guidelines for diagnosis and treatment of NCP; pay sufficient attention to self-protection according to different risk levels in the meantime of proper diagnosis and treatment and nursing process optimization. The patients with hernia or abdominal wall disease should also actively cooperate with the medical staff to complete the examination and inpatient surgical treatment in accordance with the process.
Key words SARS-CoV-2; Pneumonia, Viral; Hernia; Abdominal Wall
对于大部分基层单位，手术设施配备不完全。新冠肺炎疫情期间，碰到分类为限期、急诊手术患者，可以在排除新冠肺炎诊断情况下，尽量行开放手术、缩短手术时间、减少医务人员暴露。如果术中存在污染，建议传统组织缝合修补；如果术中没有发生明显的污染，可选用补片修补，原则上选用大网孔、轻量型补片，一般不选择网塞修补；生物材料加强疝修补（technique of abdominal wall reinforcement with biological mesh，tARB）手术，对于肠管坏死、污染情况也是一个很好的选择。