Zayac S. N.

LITERATURE REVIEWS

Scentific article

The COVID-19 pandemic has made significant adjustments to surgical practice, including laparoscopic surgery, especially in terms of the risk of contamination among medical personnel. The purpose of our work was to summarize current data regarding the risk of infection of medical personnel with COVID-19 infection during emergency operations in surgical clinics for covid patients. In the publications studied, some authors suggest that laporoscopy is more dangerous for medical personnel in terms of contamination than laporotomy. The harmful effects of aerosols from pneumoperitoneum, which contain the virus, have not yet been quantified, and protective measures for medical personnel represent an extrapolation of measures taken during other epidemics. Therefore, the risk of contamination of nursing staff with laparoscopy may be higher than with laparotomy, especially if there is an accidental gas leak or poorly controlled gas removal. Others argue that a closed surgical site in laparoscopy reduces the risk of infection, and that there is no conclusive evidence that viruses are viable or that they are actually transmitted during laparoscopy. The publications report that SARS-CoV-2 remains virulent for 2-3 hours in the air and up to 9 days on smooth non-porous surfaces, but there is no consensus about the actual presence of SARSCoV-2 in the air when using pneumoperitonium. However, despite the fact that at present there are no reports of infection of medical personnel during laparoscopy, and there is no evidence that laparoscopy should be replaced by laparotomy during the COVID-19 epidemic, all authors consider it necessary to take preventive measures to prevent the contamination of the virus by employees in the operating room. Personal protective equipment should always be used when the operation is performed on infected patients, fever, coughing, and also in contact with covid patients. An important role in the postoperative period is played by active rehabilitation, which involves a whole range of measures aimed at minimizing the risks of complications. The paper shows the organizational problems of rehabilitation that arose as a result of the COVID-19 epidemic. Thus, this work summarizes the current modern data on the emerging risks of infection of medical personnel during emergency surgical operations in patients with COVID-19 infection, as well as in the process of rehabilitation in the postoperative period. The necessity of takingmeasures to prevent contamination of SARS-CoV-2 medical personnel in the operating room is shown, despite the lack of data on the infection of medical workers during laparoscopic operations. Of the organizational measures, it should be noted, first of all, an increase in the awareness of medical workers about the risk of infection and training them in the rules for its prevention.

COVID-19, laparoscopy, medical personnel, personal protective equipment.

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«Bulletin of problems biology and medicine» Issue 4 (162), 2021 year, 10-15 pages, index UDK 614.25:616-089.8:616.9

10.29254/2077-4214-2021-4-162-10-15