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

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 sur...

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Autores principales: Jain, Sumeet, Gupta, Sumit, Singh, Tejinder Pal, Chhabra, Kavita, Jain, Richa, Sohi, Akashdeep Singh, Chhina, Deepender Kaur, Brar, Gurpreet Singh, Mittal, Rajinder Kumar, Gautam, Parshotam Lal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer India 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7790726/
https://www.ncbi.nlm.nih.gov/pubmed/33437685
http://dx.doi.org/10.1007/s12070-020-02334-6
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author Jain, Sumeet
Gupta, Sumit
Singh, Tejinder Pal
Chhabra, Kavita
Jain, Richa
Sohi, Akashdeep Singh
Chhina, Deepender Kaur
Brar, Gurpreet Singh
Mittal, Rajinder Kumar
Gautam, Parshotam Lal
author_facet Jain, Sumeet
Gupta, Sumit
Singh, Tejinder Pal
Chhabra, Kavita
Jain, Richa
Sohi, Akashdeep Singh
Chhina, Deepender Kaur
Brar, Gurpreet Singh
Mittal, Rajinder Kumar
Gautam, Parshotam Lal
author_sort Jain, Sumeet
collection PubMed
description 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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spelling pubmed-77907262021-01-08 Short Term Outcomes of Head and Neck Oncology Surgery During Covid-19 Pandemic: Experience from a Tertiary Cancer Care Centre in North India Jain, Sumeet Gupta, Sumit Singh, Tejinder Pal Chhabra, Kavita Jain, Richa Sohi, Akashdeep Singh Chhina, Deepender Kaur Brar, Gurpreet Singh Mittal, Rajinder Kumar Gautam, Parshotam Lal Indian J Otolaryngol Head Neck Surg Original Article 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. Springer India 2021-01-08 2022-10 /pmc/articles/PMC7790726/ /pubmed/33437685 http://dx.doi.org/10.1007/s12070-020-02334-6 Text en © Association of Otolaryngologists of India 2021
spellingShingle Original Article
Jain, Sumeet
Gupta, Sumit
Singh, Tejinder Pal
Chhabra, Kavita
Jain, Richa
Sohi, Akashdeep Singh
Chhina, Deepender Kaur
Brar, Gurpreet Singh
Mittal, Rajinder Kumar
Gautam, Parshotam Lal
Short Term Outcomes of Head and Neck Oncology Surgery During Covid-19 Pandemic: Experience from a Tertiary Cancer Care Centre in North India
title Short Term Outcomes of Head and Neck Oncology Surgery During Covid-19 Pandemic: Experience from a Tertiary Cancer Care Centre in North India
title_full Short Term Outcomes of Head and Neck Oncology Surgery During Covid-19 Pandemic: Experience from a Tertiary Cancer Care Centre in North India
title_fullStr Short Term Outcomes of Head and Neck Oncology Surgery During Covid-19 Pandemic: Experience from a Tertiary Cancer Care Centre in North India
title_full_unstemmed Short Term Outcomes of Head and Neck Oncology Surgery During Covid-19 Pandemic: Experience from a Tertiary Cancer Care Centre in North India
title_short Short Term Outcomes of Head and Neck Oncology Surgery During Covid-19 Pandemic: Experience from a Tertiary Cancer Care Centre in North India
title_sort short term outcomes of head and neck oncology surgery during covid-19 pandemic: experience from a tertiary cancer care centre in north india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7790726/
https://www.ncbi.nlm.nih.gov/pubmed/33437685
http://dx.doi.org/10.1007/s12070-020-02334-6
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