The Digestive Surgery Department’s Activity Report during the COVID-19 Pandemic “Quarantine Period”
Author(s)
Hamri Asma1, Habbab Adil1, Boussaidane Said1, Boutajnouite Mehdi1, Daoudi Badre1, Mahmoud Amine1, Ounjif Omar1, Chanfir abderrahim1, Narjis Youssef1, Benelkhaiat Benomar Ridouan1, Youssef Elouardi2, El Khiari Mina2 and Mohamed Khallouki2
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DOI:10.17265/1548-6648/2020.06.003
Affiliation(s)
1. Department of Surgery, Ibn Tofail Hospital, Mohamed the VI University Hospital, Marrakech 40000, Morocco
2. Department of Anesthesiology and Reanimation, Ibn Tofail Hospital, Mohamed the VI University Hospital, Faculty of Medicine and Pharmacy, Cadi Ayad University, Marrakech 40000, Morocco
ABSTRACT
In this very particular moment
through which we are living, it seems interesting to expose our own experience in
taking digestive surgery patients. Emergency, oncological surgeries remained a priority.
Functional surgery was deferred. On March 19, 2020, the Interior Ministry declares a state
of health emergency and restricted traffic in Morocco from Friday (March 20.2020)
until further notice, and declares this as the only inevitable way to keep the coronavirus
under control. Therefore, The Covid-19 pandemic is changing the organization of
healthcare and has a direct impact on digestive surgery. Healthcare priorities and
circuits are being modified. The Mohamed the
VI university Hospital consists of 4 hospitals and two
centers; during this period, Ibn Tofail Hospital was dedicated to surgical management (all specialties combined). In addition to public
Hospitals and some Mohamed the VI University Hospitals were involved in the Covid patients
care. This last had two poles of digestive surgery (two different hospitals), the
first one was dedicated to Covid-19 patients, and latter one for non-Covid patients, the
advantage of this second pole: different specialties with a surgical resuscitation
and emergency intensive care unit. The precautions, taken, were given the large
number of healthy carriers; it must be emphasized that protective measures must be
used in the care of all personnel and patients. Surgical treatment of 625 patients (From 20 March to
10 June) was carried out in collaboration with the resuscitation department, radiology,
gastroenterology, oncology, biological laboratory, anatomopathology, paramedical
staff and mainly in responsibility sense of the university hospital direction and
the ministry of health engagement. We detail the results below. The report purpose:
there is probably an added risk due to the pandemic that must be balanced against
the risk incurred by deferring surgery. Not only the Covid-19 caused death during
this pandemic, also we must work hard to
treat other pathologies which can be fatal.
KEYWORDS
Digestive surgery during Covid-19 pandemic, Lockdown, Emergency § oncologic surgery
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