Minimally Invasive Surgery Project...Are there any SOP for COVID-19+ patients in the outpatient setting? Yes 36% No 41% 34 centers skipped the question If yes; will you be willing

Minimally Invasive Surgery Project

What is your subspeciality?

Oncological surgery

Gastrointestinal (visceralsurgery)

Upper GI

Gynecology

Urology

65%

2%0% 0%

32%

➢ 1 center skipped the question

What hospital do you currently work in?

Academic/teaching

Local district

Private

Other

47%

42%

8%

2%

➢ 1 center skipped the question

How would you describe the current status of your hospital in relation to COVID-19 pandemic?

Still maintaining normal surgical practise forboth elective and emergency

Cancelling elective non cancer surgery

Cancelling all elective surgery

Surge of COVID-19 cases that is significantlyimpacting all services

Complete lockdown2%

51%

13%

8%6%

➢ 29 centers skipped the question

Have you been asked to help out in other specialties such asEmergency Departement (ED),

Emergency Internal Medicin or Intensive Therapy Unit (ITU)?

Yes

No

Not yet

17%

43%

19%


If yes; did you received the required training?

Yes

No14%

43%


Where have you been asked to help out?

Emergency department

Emergency internal medicine

Intensive therapy unit

Other

34%

19%

2%5%


Does your hospital test for Covid-19 for patientsto be admitted with suspected symptoms?

Yes

No

3%

76%


If yes; when is the test performed?

At home

Into the hospital, once the patient isjust in ward

At the hospital entrance, beforeadmission

4%

26%

49%


Do you have in your hospital a ward dedicatedfor COVID-19 positive patients?

Yes

No

10%

71%


If yes; are surgical patients with COVID+ admitted to this a Covid+ ward?

Yes

No20%

54%


How many COVID-19+ patients has your hospital treated so far?

UK PortugalColombia SpainGermany ThailandEstonia Czech RepublicHong Kong IndonesiaArab Emirates IrelandSingapore AlbaniaTaiwan SlovakiaQatar USASlovenia RomaniaIrak UkrainePhilippines JordanIsrael AustraliaBelgium PakistanDenmark PanamaIndia NetherlandsNorway JapanPoland LabanonSweden SwitzerlandMessico ArgentineCroatia AustriaTurkey GreeceBosnia CanadaFrance BulgariaMalta SerbiaItaly

➢ Total patients: 37630

Italy

How many COVID-19+ Patients has your hospital treated so far?

➢ 12 centers answered 0 patients

➢ 14 centers answered < 10 patients



➢ 1 center answered 23 patients









➢7 centers answered 100 patients










49 centers skipped the question

How many COVID-19+ patients have been in ITU so far?UK PortugalUnited Arab Emirates ArabiaSpain ThailandIndonesia PanamaPoland IrelandPakistan LebanonRomania FinlandHong Kong IrakBelgium SingaporeAlbania TaiwanEstonia GreeceGermany SloveniaUSA ColombiaDenmark CanadaCroatia NetherlandsNorway JapanMessico QatarSwitzerland IsraelFrance TurkeyMalta BulgariaSlovakia AustriaIndia ArgentineSerbia BosniaPhilippines Italy


Italy45%

How many COVID-19+ Patients have been in ITU so far?












➢5 centers answered 60 patients








Haw many COVID-19+ patients underwent emergencysurgical procedures in your centre?

UK Colombia Spain Ireland Romania Pakistan Singapore

Albania Greece Lithuania Egypt Croatia Belgium Germany

Argentine Israel France Turkey Finland Slovenia Arabia

Norway Netherlands Bosnia Georgia Italy


Italy44%

How many COVID-19+ Patients underwent emergencysurgical procedures in your center?








How many COVID-19+ patients were operated on using MIS?

UK

Spain

Colombia

Ireland

Belgium

Bulgaria

Norway

Netherlands

France

Albania

Italy


Italy46%

How many COVID-19+ Patients were opereted on using MIS?


➢ 14 centers answered 1 patient







Do you have/apply any special measures for MISwhen you operate on COVID-19 patients?

Yes

No

53%

22%


If yes; please specify

CO2 filter

Choice of energy device

Any additional procedure to reduce airleakage

CO2 filter and Choice of energy device

CO2 filter and Choice of energy device andAny additional procedure to reduce airleakageCO2 filter and Any additional procedure toreduce air leakage

Choice of energy device and Any additionalprocedure to reduce air leakage

33%

10%

15%

8%

5% 7%

1%


How many COVID-19+ patients are decreased in your centre until now?

UK PortugalColombia SpainIndonesia IndonesiaIreland RomaniaPhilippines AustriaFinland BelgiumBosnia PakistanSingapore AlbaniaIsrael NorwayHong kong GreeceJordan FranceCanada CroatiaNetherlands GermanyQatar SwitzerlandMessico IrakUkraine BulgariaTurkey SloveniaDenmark AustriaPoland SerbiaItaly


Italy18%

How many COVID-19+ patients are decreased in your centre until now?

➢ 24 centers answered 0




➢ 1 center answered 4


























Are there any standard operating procedures (SOP) for COVID+ patients in your centre?

Yes

No

43%

26%


If yes; please select any of the following

OR

Perioperative care

Tele-consulting

OR and perioperative care and tele-consulting

OR and perioperative

Perioperative and tele-consulting

OR and tele-consulting

28%

16%

6% 6%

10%

2%1%


Are there any SOP for COVID-19+ patients in the OR?

Yes

No

35%

30%


Are there any SOP for COVID-19+ patients for perioperative care?

Yes

No

36%

28%


Are there any SOP for COVID-19+ patients in the outpatient setting?

Yes

No36%

41%


If yes; will you be willing to share them with EAES members?

Yes

No

20%

21%


During the pandemic of COVID-19, have you witnessed a reduced incidence of acute surgical condition such as acute appendicitis,

cholecystitis and diverticulitis?

Yes

No

59%

6%


Are you using CT routinely in diagnosis of all COVID-19 patients?

Yes

No

45%

20%


Are you using US in diagnosis of all COVID-19?

Yes

No

24%

39%


Have you encountered many patients referred for surgical review with abdominal symptoms?

Yes

No18%

46%


If yes; what is the main age category?


➢ 3 centers answered 31-40





➢ 3 centers answered > 80

➢ 1 center answered 21-30

If yes; what are the main symptoms?

Abdominal pain

Diarrhea

Vomiting

Other

21%

7%

0%2%


Of those patients, have you encountered any COVID-19+ patientswith an abdominal pathology?

Yes

No

24%

31%


If yes; specify age range






➢ 3 centers answered > 80



If yes; specify if you had to operate on them and which approach used

Open surgery

Laparoscopic surgery

Robotic surgery

13% 13%

1%


What was the main findings?

Obstructing tumour

Bowel perforation

Acute inflammatory condition ofappendix

Acute inflammatory condition ofgall bladder

Acute inflammatory condition ofdiverticulit

6%

7%

11%

3%

4%


Do your patients recover in a dedicated COVID-19 ward?

Yes

No

49%

11%


Have you encountered more/other complications with COVID-19 patients?

Yes

No

10%

41%


If yes

Respiratory

Infective

Other

8%

4%

1%


Do you follow the same recovery programme as for non-COVID-19 patients or do you have a different protocol?

Yes

No

19%

33%


If yes; what are the main changes?

Routine antibiotics useprophylactic for a week

Other

15%

4%


In your opinion, where are the gaps in relationship to COVID-19 and surgicalpractise (use a scale of 1-5 where 5 is the maximum)

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

4%

8%

14% 14%

18%


VIRUS SPECIFY

SURGICAL PROCEDURES AND PROTECTIVE MEASURES

Grade 1

Grade 2

Grade 3

Grade 4

Grade 53%

5%

15%

17%

20%


In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)

ITU/ INTERNAL MEDICINE (GENERAL) FOR SERVICE REDISTRIBUTION

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

3%

7%

18%

20%

12%



DIAGNOSTICS MODALITIES OF THE VIRUS

Grade 1

Grade 2

Grade 3

Grade 4

Grade 54%

11%

18%

16%

9%



OTHERS

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

5%

6%

8%

6%

2%



Grade 1

Grade 2

Grade 3

Grade 4

Grade 53%

4%

20%

13%

18%

HUMAN RESOURCES (REDIRECTION OF SURGICAL STAFF)


In your opinion, where are the gaps in relationship to COVID-19 and surgicalpractise (use a scale of 1-5 where 5 is the maximum)

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

1%

3%

20%

16%

18%

HUMAN RESOURCES (SURGICAL STAFF TRAINING)



Grade 1

Grade 2

Grade 3

Grade 4

Grade 53%

5%

12% 12%

26%

MATERIALS (PROTECTIVE AS WELL AS STERILE SURGICAL EQUIPMENT)



Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

3%

5%

9%

13%

28%

MASKS (FILTERING FACE PIECE FFP1-2) DECONTAMINATING



Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

3%

6%

16%

14%

19%

OWN RECYCLABLE PROTECTIVE MEASURES



Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

1%

8%

15%

18%16%

ENDOSCOPY FFP MEASURES



Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

3% 3%

12%

18%

21%

THEATRE FFP MEASURES



Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

10%

3%4%

2%

4%

OTHERS



Grade 1

Grade 2

Grade 3

Grade 4

Grade 52%

4%

11%

18% 18%

SURGICAL PROCEDURES IN GENERAL PROTECTIVE MEASURES ON COVID-19+ PATIENTS



Grade 1

Grade 2

Grade 3

Grade 4

Grade 53% 4%

13%

18%

15%

SAFETY OF MIS ON COVID-19+ PATIENTS



Grade 1

Grade 2

Grade 3

Grade 4

Grade 53% 3%

12%

17%

19%

EFFECT AND SAFETY OF PNEUMOPERITONEUM ON COVID-19+ PATIENTS



Grade 1

Grade 2

Grade 3

Grade 4

Grade 53%

8%

16% 16%

12%

CONVERSION TO OPEN AFTER MIS AMONG COVID-19 PATIENTS



Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

1%

5%

17%18%

14%

POSTOPERATIVE CARE ON COVID-19+ PATIENTS



Do you feel you need psychological support in this period? (use a scale of 1-5 where 5 is the maximum)

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

22%

12%11%

3%5%


Is peer support avaiable in your hospital?

Yes

No

33%

20%


Are there psychologists avaiable to provide staff support in relation to COVID-19?

Yes

No

34%

18%


Do you have an access to this service?

Yes

No

27%

25%


Does your center offer routine testing to staff with suspected symptoms?

Yes

No

35%

18%


Do you have any measures in place to protect your family?

Yes

No

29%

23%


Documents

Minimally Invasive Surgery Project...Are there any SOP for COVID-19+ patients in the outpatient setting? Yes 36% No 41% 34 centers skipped the question If yes; will you be willing