COVID-19 Discussion

By Alison Shamwana | Started 30th Apr 2020

INTRODUCTION BY MARTIN SMITH, IHPBA PRESIDENT

Follow this link to read the introduction by our President, Professor Martin Smith.

COVID-19 Video Diaries

Dr Giovanni Marchegiani
 
Dr Kito Fusai
 
Dr Dejan Radenkovic

AHBPA Webinar on COVID-19

Follow this link to view the AHPBA Webinar on COVID-19 and HPB Surgery.  This is a very useful discussion, but please note that it took place on 17 April so data provided in the webinar and the Q&A should be viewed in light of a rapidly changing landscape.

Michelle L de Oliveira - President of the UEMS HPB Board of Examination:

Follow this link to read an explanation by Michelle L de Oliveria, President of the UEMS HPB Board of Examination) on the impact of the COVID-19 crisis on the late 2020 examinations, the wider impacts to the HPB surgical education system, and how the HPB syllabus may need to change in response.

 

Orlando Torres: Being an HPB surgeon during the COVID-19 era.

Follow this link to read Dr Orlando Torres’ account of how COVID-19 impacted not only his professional, but also personal life.
 

Impact of the coronavirus pandemic on the role of HPB surgeons in Tongji Hospital, Wuhan, China

This report [link] by Lin Chen, Zhi-yong Huang and Xiao-ping Chen describes how HPB surgeons in the Tongji Hospital of Wuhan, at the epicentre of the coronavirus outbreak in China, were called upon to assist in the fight against coronavirus, and the strategies adopted to successfully deliver HPB service to the most severely affected COVID-19 patients and others during the last four months.

GROUND RULES

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Comments (5)
  • Palepu Jagannath 5th May 2020

    (3)

    Learning to live in Covid 19 era
    India has enforced stringent lock down on its 1.6 Billion people for the last 6 weeks.
    Fortunately we have done well so far. The graph clearly shows that the numbers in India are not overwhelming.The curve is flatter but we have not yet seen down trend.
    total no of deaths - countrywise
    However this comes with huge economic loss. saving 'lives and livelihoods' is important.
    We need to also accept that life is not going to be same. New "Social behaviour and social responsibility  are necessary".
    Here's the blog on "Learning to live in Corona era'. https://www.linkedin.com/pulse/learning-live-post-corona-era-dr-p-jagannath
  • (2)

    Dear colleagues,

    My name is Tihomir Georgiev, an HPB surgeon from Spain.

    As the pandemic progresses, I am more and more concerned about those patients that have recently passed a COVID-19 pneumonia with some residual chest X-ray changes, that already have at least one negative PCR test and, being asymptomatic for more than 2-3 weeks, are to undergo an elective HPB surgery.

    The available protocols do not consider the possibility the patient continues being infective even after negative PCR test and, at least in my institution, the current protocol do not recommend any additional protective measures when operating on such patients.

    Would you be so kind to share your personal experience and opinion on whether you would use PPE during a complex liver resection in such patient or you could consider the patient definitely non infective (being asymptomatic and SARSCOV2 PCR negative).

    Thank you 

  • DEBANSHU BHADURI 7th May 2020

    (1)

    Dear Tihomir

    My name is Debanshu Bhaduri, and I am a surgical oncologist from Maharashtra, India, the state hit hardest by COVID 19 in this country. I can share my department's policy with you and I hope it is of some use. 

    We have not shut oncology services even a single day at our institute even though India has, and is witnessing the most stringent lockdown in the history of the planet (so I am informed). As a charitable institute with moderate funding, PPE acquisition  is a perpetual conundrum. Since the outbreak, major surgical procedure numbers have abated just a bit because of the logistics involved in reaching the hospital (for patients and their care givers). However, as testing and 'window period' period dilemmas continue, and with several of our staff struck with the virus, we treat each and every patient undergoing surgery or in house as positive for COVID 19 regardless of test conclusions. Accordingly, protective measures are taken for all patients undergoing surgery. 

    I am happy to inform you that thus far my team and I are virus free and the policy seems to be working. We have also been lucky enough to have performed major HPB surgery on just one patient who had a prior history of COVID 19. There was no flare up of symptoms during the perioperative period. 

    In our non HPB patients, we have not yet encountered a single COVID positive patient (all patients are tested prior to admission), but we continue to follow a policy of "a high degree of suspicion" universally.

  • Prashant Bhangui 11th May 2020

    (1)

    Dear Prof Orlando, yours is a heartwarming tale of how a "family" of specialists and a young doctor with a young son has demonstrated the courage to fight this deadly virus that has created havoc for us, our patients, and the whole medical and social system worldwide!! Life has ceased to be the same for more than 3 months now, but the important thing is to keep going, and stay positive!! All the best to you and your family my friend, and ...LETS KEEP THE FAITH!!!

    We at Medanta, in Delhi-NCR India are continuing to operate on our HPB cancer patients with prior RT-PCR Testing (with/without preop CT Chest as indicated), and also transplanting urgent/semi urgent end stage liver disease patients, trying our best to keep our patients and ourselves safe, in these difficult times. But the logistics are overwhelming to say the least!!

  • Alison Shamwana 18th May 2020

    (0)

    The IHPBA COVID-19 REGISTRY will help members understand the consequences of COVID on HPB services worldwide.

    For full background & to REGISTER YOUR CENTRE / get a password: medscinet.com/Covidihpba/ 

    Real-time results:

    https://www.medscinet.com/Covidihpba/about.aspx?lang=1

    Contributors may access a more detailed dashboard.

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