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Copyright (c) 2020 Alan Rodríguez Muñiz, Juan Miguel Martínez Castilla, Andrés Arcila, Mauricio Padilla, María Camila Jaramillo, Andrés Davalos, David Zapata , Francisco López Torres, Andrés Villate, Darío Alarcón , Johanna Maestre , Joaquín Díaz Granados , Michael Duran , Ricardo Manzur , Rafael García

This work is licensed under a Creative Commons Attribution 4.0 International License.
COVID-19 – Practice Guidelines for Elective Plastic Surgery
Corresponding Author(s) : Alan Rodríguez Muñiz
Ciencia e Innovación en Salud,
2020
Abstract
The present article tries to define the necessary strategies and protocols for the management of patients who are candidates for elective cosmetic plastic surgery, in order to reduce the different conditions that may arise the risk of complications related to aesthetic surgery in the current context of the COVID-19 pandemic. We define strategies of biosecurity, personal protection elements, self-care, sanitation, disinfection and screening, since our activity is aimed at the care of healthy patients, the patients must assume a shared responsibility in order to be accordance with the necessary guidelines included in this protocol.
With this protocol, we seek to establish necessary alternatives and activities to mitigate COVID-19 infection in the context of the actual health emergency of our country, in order to guarantee the safety of patients and health providers, seeking an adequate reactivation of our labor sector under the guidelines established by the health authorities. This protocol establishes the biosafety guidelines that are applied in all the patient care steps (preoperative, transoperative and postoperative).
Keywords
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1. Guan W, Ni Z, Hu Y. Clinical Characteristics of Coronavirus Disease 2019 in China. New England Journal of Medicine. 2020
2. Novel Coronavirus – China [Internet]. World Health Organization. World Health Organization; 2020 [cited 2020Jun2]. Available from: https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/Coronavirus (COVID - 2019) en Colombia [Internet]. Coronavirus Colombia. [cited 2020Jun2]. Available from: https://www.ins.gov.co/Noticias/Paginas/Coronavirus.aspx
3. Coronavirus (COVID - 2019) en Colombia [Internet]. Coronavirus Colombia. [cited 2020Jun3]. Available from: https://www.ins.gov.co/Noticias/Paginas/Coronavirus.aspx
4. Day M. Covid-19: four fifths of cases are asymptomatic, China figures indicate. Bmj. 2020Feb;:m1375.
5. Jones DS, Klompas M, Beigel JH, Larochelle MR, Department of Global Health and Social Medicine. History in a Crisis - Lessons for Covid-19: NEJM [Internet]. New England Journal of Medicine. 2020 [cited 2020Jun2]. Available from: http://www.nejm.org/doi/10.1056/NEJMp2004361
6. Ministerio de Sanidad. Recomendaciones para la programación de cirugía en condiciones de seguridad durante el periodo de transición de la pandemia COVID-19. AE Cirujanos. 2020May16.
7. Richter D, Kaye K, Ruiz B. Considerations for the Resumption of Aesthetic Surgery, Treatments and Visits in COVID-19 Pandemic. International Society of Aesthetic Plastic Surgery. 2020.
8. Cook T. Personal protective equipment during the COVID-19 pandemic – a narrative review. Anaesthesia . 2020Apr4.
9. Asociación Colombiana de Infectología. Consenso Colombiano de atención, diagnóstico y manejo de la infección por SASR-COV2/covid 19 en establecimientos de atención de la salud. 2020Mar;24.
10. Ozturk CN, Kuruoglu D, Ozturk C, Rampazzo A, (Gurunluoglu) RG. Plastic Surgery And The Covid-19 Pandemic. Annals of Plastic Surgery. 2020Jan;Publish Ahead of Print.
11. Ministerio de Salud y Protección Social. Resolución 666 de 2020 Protocolo de Bioseguridad. 2020.
12. ISAPS. ISAPS International Survey on Aesthetic/Cosmetic Procedures. 2018.
13. Donati A, Ruzzi M, Adrario E, Pelaia P, Coluzzi F, Gabbanelli V, et al. A new and feasible model for predicting operative risk. British Journal of Anaesthesia. 2004;93(3):393–9.
14. Miller TJ, Jeong HS, Davis K, Matthew A, Lysikowski J, Cho M-J, et al. Evaluation of the American Society of Anesthesiologists Physical Status Classification System in Risk Assessment for Plastic and Reconstructive Surgery Patients. Aesthetic Surgery Journal. 2014Jan;34(3):448–56.
15. Kaye K, Paprottka F, Escudero R, Casabona G, Montes J, Fakin R, et al. Elective, Non-urgent Procedures and Aesthetic Surgery in the Wake of SARS–COVID-19: Considerations Regarding Safety, Feasibility and Impact on Clinical Management. Aesthetic Plastic Surgery. 2020.
16. Lei S, Jiang F, Xia Z-Y, Xia Z. Authors reply – Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine. 2020;22:100363.
17. Mofid MM, Teitelbaum S, Suissa D, Ramirez-Montañana A, Astarita DC, Mendieta C, et al. Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force. Aesthetic Surgery Journal. 2017;37(7):796–806.
18. Wang H-D, Zheng J-H, Deng C-L, Liu Q-Y, Yang S-L. Fat Embolism Syndromes Following Liposuction. Aesthetic Plastic Surgery. 2008;32(5):731–6.
19. Hojaij FC, Chinelatto LA, Boog GHP, Kasmirski JA, Lopes JVZ, Sacramento FM. Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review. Clinics. 2020;75.
20. Liu Z, Zhang Y, Wang X, Zhang D, Diao D, Chandramohan K, et al. Recommendations for Surgery During the Novel Coronavirus (COVID-19) Epidemic. Indian Journal of Surgery. 2020;82(2):124–8.
21. Lauer SA, Grantz KH, Bi Q, Jones FK, Zheng Q, Meredith HR, et al. The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application. Annals of Internal Medicine. 2020May;172(9):577–82
22. Azkur A, Akdis M, Azkur D, Sokolowska M, van de Veen W, Brüggen M et al. Immune response to SARS‐CoV‐2 and mechanisms of immunopathological changes in COVID‐19. Allergy;2020.
23. Kellam P, Barclay W. The dynamics of humoral immune responses following SARS-CoV-2 infection and the potential for reinfection. Journal of General Virology; 2020.
24. Lineamientos para el uso de pruebas diagnósticas de SARS-CoV-2 (COVID-19) en Colombia [Internet]. Minsalud.gov.co. 2020 [cited 2 June 2020]. Available from: https://www.minsalud.gov.co/Ministerio/Institucional/Procesos%20y%20procedimientos/GIPS21.pdf
25. Lui G, Ling L, Lai C, Tso E, Fung K, Chan V et al. Viral dynamics of SARS-CoV-2 across a spectrum of disease severity in COVID-19. J Infect; 2020.
26. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet; 2020.
27. Parra A, Ortiz R, Almonacid L, Tamayo C, Hernández-Restrepo J, Higuera L et al. Volver a empezar: cirugía electiva durante la pandemia del SARS-CoV2. Recomendaciones desde la Asociación Colombiana de Cirugía [Internet]. Revistacirugia.org. 2020 [cited 2 June 2020]. Available from: https://www.revistacirugia.org/index.php/cirugia/article/view/656
28. Zhao J, Yuan Q, Wang H, Liu W, Liao X, Su Y et al. Antibody responses to SARS-CoV-2 in patients of novel coronavirus disease 2019. Clinical Infectious Diseases; 2020.
29. SARVAC - Sociedad de Anestesiología y Reanimación del Valle del Cauca - Creación de una ruta segura para reactivar la Cirugía Plástica en tiempos de pandemia [Internet]. Sarvac.com.co. 2020 [cited 2 June 2020]. Available from: https://sarvac.com.co/formacion-continuada/webinars/182-creaci%C3%B3n-de-una-ruta-segura-para-reactivar-la-cirug%C3%ADa-pl%C3%A1stica-en-tiempos-de-pandemia.html
30. Li Y, Xia L. Coronavirus Disease 2019 (COVID-19): Role of Chest CT in Diagnosis and Management. ARJ; 2020.
31. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China. JAMA; 2020.
32.Ti L, Ang L, Foong T, Ng B. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. 2020.
33. Claytor B. COVID-19 - Reopening Offices and Resuming Elective Procedures - Foreword [Internet]. Surgery.org. 2020 [cited 2 June 2020]. Available from: https://www.surgery.org/professionals/covid-19/reopening-offices-and-resuming-elective-procedures/foreword
34. Salud O. Requerimientos para uso de equipos de protección personal (EPP) para el nuevo coronavirus (2019-nCoV) en establecimientos de salud. Recomendaciones interinas, 2 febrero, 2020 [Internet]. Iris.paho.org. 2020 [cited 2 June 2020]. Available from: https://iris.paho.org/handle/10665.2/51976
35. Balibrea J, Badia J, Rubio Perez I, et al. Manejo quirúrgico de pacientes con infección por COVID-19. Recomendaciones de la Asociación Española de Cirujanos. CIR ESP. 2020;98(5):251–9.
36. Kampf G, Todt D, Pfaender S, et al. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect. 2020;104(3):246–51.
37. Liu Z, Zhang Y, Wang X, et al. Recommendations for Surgery During the Novel Coronavirus (COVID-19) Epidemic. Indian J Surg. 2020;0(0):1–5.
38. Rowlands J, Yeager M, Beach M, et al. Video Observation to Map Hand Contact and Bacterial Transmission in Operating Rooms. Am J Infect Control. 2014;42(7):698–701.
39. Heudorf U, Henstchel W, Kutzke G, et al. Hygienic Procedures in Operation Theatres – Guidelines and Reality. Data Obtained on Hygiene Control Measures by the Public Health Service at Frankfurt am Main. Gesundheitswesen. 2003;65(5):312–20.
40. Wong J, Yuan Q. Preparing for a COVID-19 Pandemic: A Review of Operating Room Outbreak Response Measures in a Large Tertiary Hospital in Singapore. Can J Anaesth. 2020;67(6):732–45.
41. Welsh Surgical Research Initiative, Tarig A, Andrew B, Chris B, Al E. Surgery during the COVID-19 pandemic: operating room suggestions from an international Delphi process. Br J Surg. 2020.
42. International Society of Aesthetic Plastic Surgery, ISAPS COVID- 19 Task Force, Richter D, Kaye K, Benito-Ruiz J. Recommendations on Organizational Adaptations for Scheduling, Patient Flow and Use of PPE in Ambulant Surgery Centers (ASCS) and COVID19-free Zones in Hospitals [Internet]. 2020.
Available from: https://www.isaps.org/wp-content/uploads/2020/05/ISAPS-RECOMMENDATIONS-ON-ORGANIZATIONAL-ADAPTATIONS.pdf
43. Sociedad Colombiana de Cirugia Plastica Estetica y Reconstructiva, Barbosa E, Alvares L, Botero C, Al. E. Recomendaciones para Atención de Pacientes de Cirugía Plástica Estética y Reconstructiva ante la Alerta del SARS – CoV 2 (COVID-19) [Internet]. 2020. Available from: https://www.drerikbuitrago.com/wp-content/uploads/2020/05/Recomendaciones-para-atencioon-de-pacientes-de-Cirugia-Plaastica-ante-la-alerta-de-COVID-19.pdf
44. Consenso IETS - ACIN. Recomendaciones de EPP para personal de salud según el área de atención para COVID-19. [Internet]. 2020. Available from: https://www.minsalud.gov.co/sites/rid/lists/BibliotecaDigital/RIDE/VS/tabla-epp-consenso.pdf
45. Sociedad Española de Cirugía Pediatrica. Recomendaciones de la Sociedad Española de Cirugía Pediátrica para el Manejo de Pacientes Pediátricos Quirúrgicos en el Contexto de la Pandemia COVID-19 (V2). 2020;1–9. Available from: https://secipe.org/wordpress03/wp-content/uploads/2020/03/covidsecp3-1.pdf
46. Sociedad Chilena de Medicina del Trabajo. Pandemia por Coronavirus (Covid-19): Recomendaciones de Seguridad y Salud Ocupacional para Trabajadores de la Salud [Internet]. 2020. Available from: http://www.colegiomedico.cl/wp-content/uploads/2020/03/Recomendaciones-SOCHMET-Covid-19-para-trabajadores-de-la-salud-V01.pdf
47. Muñoz-Leyva F, Niazi A. Common breaches in biosafety during donning and doffing of protective personal equipment used in the care of COVID-19 patients. Can J Anaesth. 2020;0(0):1–2.
48. Protocolo ante el COVID-19 en el Área Quirúrgica del H.U.M. Valdecilla (versión 2.0) [Internet].2020 [cited 2 June 2020]. Available from: https://www.sedar.es/images/site/BIBLIOGRAFIA_COVID-19/Protocolos/PRTC_HUMValdecilla_Protocolo_Quirofano_general_v2.0.pdf
49. Murcia C. Medidas de Protección Recomendadas para los Trabajadores Según la Actividad Laboral Realizada en Casos de Investigación o Confirmados de COVID-19 [Internet]. Murciasalud.es. 2020 [cited 2 June 2020]. Available from: https://www.murciasalud.es/pagina.php?id=458269&idsec=5
50. Coccolini F, Perrone G, Chiarugi M, Di Marzo F, Ansaloni L, Scandroglio I et al. Surgery in COVID-19 patients: operational directives. World Journal of Emergency Surgery; 2020.
51. Heffernan D, Evans H, Huston J, Claridge J, Blake D, May A et al. Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Surgical InfectionsVol. 21, No. 4; 2020.
52. Steward J, Riley Kitley W, Schmidt C, Sundaram C. Urologic Surgery and COVID-19: How the Pandemic Is Changing the Way We Operate | Journal of Endourology [Internet]. Mary Ann Liebert, Inc., publishers. 2020 [cited 2 June 2020]. Available from: https://www.liebertpub.com/doi/10.1089/end.2020.0342
53. Qualliotine J, Orosco R. Self‐removing passive drain to facilitate postoperative care via telehealth during the COVID ‐19 pandemic. Wiley Online Library [Internet]. 2020.
54. Hakim A, Kellish A, Atabek U, Spitz F, Hong Y. Implications for the use of telehealth in surgical patients during the COVID-19 pandemic. Am J Surg; 2020.
55. Aminian A, Safari S, Razeghian-Jahromi A, Ghorbani M, Delaney C. COVID-19 Outbreak and Surgical Practice. Ann Surg; 2020.
56. Preguntas y respuestas sobre la enfermedad por coronavirus (COVID-19) [Internet]. Who.int. 2020 [cited 2 June 2020]. Available from: https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019/advice-for-public/q-a-coronaviruses#:~:text=sintomas
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References
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6. Ministerio de Sanidad. Recomendaciones para la programación de cirugía en condiciones de seguridad durante el periodo de transición de la pandemia COVID-19. AE Cirujanos. 2020May16.
7. Richter D, Kaye K, Ruiz B. Considerations for the Resumption of Aesthetic Surgery, Treatments and Visits in COVID-19 Pandemic. International Society of Aesthetic Plastic Surgery. 2020.
8. Cook T. Personal protective equipment during the COVID-19 pandemic – a narrative review. Anaesthesia . 2020Apr4.
9. Asociación Colombiana de Infectología. Consenso Colombiano de atención, diagnóstico y manejo de la infección por SASR-COV2/covid 19 en establecimientos de atención de la salud. 2020Mar;24.
10. Ozturk CN, Kuruoglu D, Ozturk C, Rampazzo A, (Gurunluoglu) RG. Plastic Surgery And The Covid-19 Pandemic. Annals of Plastic Surgery. 2020Jan;Publish Ahead of Print.
11. Ministerio de Salud y Protección Social. Resolución 666 de 2020 Protocolo de Bioseguridad. 2020.
12. ISAPS. ISAPS International Survey on Aesthetic/Cosmetic Procedures. 2018.
13. Donati A, Ruzzi M, Adrario E, Pelaia P, Coluzzi F, Gabbanelli V, et al. A new and feasible model for predicting operative risk. British Journal of Anaesthesia. 2004;93(3):393–9.
14. Miller TJ, Jeong HS, Davis K, Matthew A, Lysikowski J, Cho M-J, et al. Evaluation of the American Society of Anesthesiologists Physical Status Classification System in Risk Assessment for Plastic and Reconstructive Surgery Patients. Aesthetic Surgery Journal. 2014Jan;34(3):448–56.
15. Kaye K, Paprottka F, Escudero R, Casabona G, Montes J, Fakin R, et al. Elective, Non-urgent Procedures and Aesthetic Surgery in the Wake of SARS–COVID-19: Considerations Regarding Safety, Feasibility and Impact on Clinical Management. Aesthetic Plastic Surgery. 2020.
16. Lei S, Jiang F, Xia Z-Y, Xia Z. Authors reply – Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine. 2020;22:100363.
17. Mofid MM, Teitelbaum S, Suissa D, Ramirez-Montañana A, Astarita DC, Mendieta C, et al. Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force. Aesthetic Surgery Journal. 2017;37(7):796–806.
18. Wang H-D, Zheng J-H, Deng C-L, Liu Q-Y, Yang S-L. Fat Embolism Syndromes Following Liposuction. Aesthetic Plastic Surgery. 2008;32(5):731–6.
19. Hojaij FC, Chinelatto LA, Boog GHP, Kasmirski JA, Lopes JVZ, Sacramento FM. Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review. Clinics. 2020;75.
20. Liu Z, Zhang Y, Wang X, Zhang D, Diao D, Chandramohan K, et al. Recommendations for Surgery During the Novel Coronavirus (COVID-19) Epidemic. Indian Journal of Surgery. 2020;82(2):124–8.
21. Lauer SA, Grantz KH, Bi Q, Jones FK, Zheng Q, Meredith HR, et al. The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application. Annals of Internal Medicine. 2020May;172(9):577–82
22. Azkur A, Akdis M, Azkur D, Sokolowska M, van de Veen W, Brüggen M et al. Immune response to SARS‐CoV‐2 and mechanisms of immunopathological changes in COVID‐19. Allergy;2020.
23. Kellam P, Barclay W. The dynamics of humoral immune responses following SARS-CoV-2 infection and the potential for reinfection. Journal of General Virology; 2020.
24. Lineamientos para el uso de pruebas diagnósticas de SARS-CoV-2 (COVID-19) en Colombia [Internet]. Minsalud.gov.co. 2020 [cited 2 June 2020]. Available from: https://www.minsalud.gov.co/Ministerio/Institucional/Procesos%20y%20procedimientos/GIPS21.pdf
25. Lui G, Ling L, Lai C, Tso E, Fung K, Chan V et al. Viral dynamics of SARS-CoV-2 across a spectrum of disease severity in COVID-19. J Infect; 2020.
26. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet; 2020.
27. Parra A, Ortiz R, Almonacid L, Tamayo C, Hernández-Restrepo J, Higuera L et al. Volver a empezar: cirugía electiva durante la pandemia del SARS-CoV2. Recomendaciones desde la Asociación Colombiana de Cirugía [Internet]. Revistacirugia.org. 2020 [cited 2 June 2020]. Available from: https://www.revistacirugia.org/index.php/cirugia/article/view/656
28. Zhao J, Yuan Q, Wang H, Liu W, Liao X, Su Y et al. Antibody responses to SARS-CoV-2 in patients of novel coronavirus disease 2019. Clinical Infectious Diseases; 2020.
29. SARVAC - Sociedad de Anestesiología y Reanimación del Valle del Cauca - Creación de una ruta segura para reactivar la Cirugía Plástica en tiempos de pandemia [Internet]. Sarvac.com.co. 2020 [cited 2 June 2020]. Available from: https://sarvac.com.co/formacion-continuada/webinars/182-creaci%C3%B3n-de-una-ruta-segura-para-reactivar-la-cirug%C3%ADa-pl%C3%A1stica-en-tiempos-de-pandemia.html
30. Li Y, Xia L. Coronavirus Disease 2019 (COVID-19): Role of Chest CT in Diagnosis and Management. ARJ; 2020.
31. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China. JAMA; 2020.
32.Ti L, Ang L, Foong T, Ng B. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. 2020.
33. Claytor B. COVID-19 - Reopening Offices and Resuming Elective Procedures - Foreword [Internet]. Surgery.org. 2020 [cited 2 June 2020]. Available from: https://www.surgery.org/professionals/covid-19/reopening-offices-and-resuming-elective-procedures/foreword
34. Salud O. Requerimientos para uso de equipos de protección personal (EPP) para el nuevo coronavirus (2019-nCoV) en establecimientos de salud. Recomendaciones interinas, 2 febrero, 2020 [Internet]. Iris.paho.org. 2020 [cited 2 June 2020]. Available from: https://iris.paho.org/handle/10665.2/51976
35. Balibrea J, Badia J, Rubio Perez I, et al. Manejo quirúrgico de pacientes con infección por COVID-19. Recomendaciones de la Asociación Española de Cirujanos. CIR ESP. 2020;98(5):251–9.
36. Kampf G, Todt D, Pfaender S, et al. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect. 2020;104(3):246–51.
37. Liu Z, Zhang Y, Wang X, et al. Recommendations for Surgery During the Novel Coronavirus (COVID-19) Epidemic. Indian J Surg. 2020;0(0):1–5.
38. Rowlands J, Yeager M, Beach M, et al. Video Observation to Map Hand Contact and Bacterial Transmission in Operating Rooms. Am J Infect Control. 2014;42(7):698–701.
39. Heudorf U, Henstchel W, Kutzke G, et al. Hygienic Procedures in Operation Theatres – Guidelines and Reality. Data Obtained on Hygiene Control Measures by the Public Health Service at Frankfurt am Main. Gesundheitswesen. 2003;65(5):312–20.
40. Wong J, Yuan Q. Preparing for a COVID-19 Pandemic: A Review of Operating Room Outbreak Response Measures in a Large Tertiary Hospital in Singapore. Can J Anaesth. 2020;67(6):732–45.
41. Welsh Surgical Research Initiative, Tarig A, Andrew B, Chris B, Al E. Surgery during the COVID-19 pandemic: operating room suggestions from an international Delphi process. Br J Surg. 2020.
42. International Society of Aesthetic Plastic Surgery, ISAPS COVID- 19 Task Force, Richter D, Kaye K, Benito-Ruiz J. Recommendations on Organizational Adaptations for Scheduling, Patient Flow and Use of PPE in Ambulant Surgery Centers (ASCS) and COVID19-free Zones in Hospitals [Internet]. 2020.
Available from: https://www.isaps.org/wp-content/uploads/2020/05/ISAPS-RECOMMENDATIONS-ON-ORGANIZATIONAL-ADAPTATIONS.pdf
43. Sociedad Colombiana de Cirugia Plastica Estetica y Reconstructiva, Barbosa E, Alvares L, Botero C, Al. E. Recomendaciones para Atención de Pacientes de Cirugía Plástica Estética y Reconstructiva ante la Alerta del SARS – CoV 2 (COVID-19) [Internet]. 2020. Available from: https://www.drerikbuitrago.com/wp-content/uploads/2020/05/Recomendaciones-para-atencioon-de-pacientes-de-Cirugia-Plaastica-ante-la-alerta-de-COVID-19.pdf
44. Consenso IETS - ACIN. Recomendaciones de EPP para personal de salud según el área de atención para COVID-19. [Internet]. 2020. Available from: https://www.minsalud.gov.co/sites/rid/lists/BibliotecaDigital/RIDE/VS/tabla-epp-consenso.pdf
45. Sociedad Española de Cirugía Pediatrica. Recomendaciones de la Sociedad Española de Cirugía Pediátrica para el Manejo de Pacientes Pediátricos Quirúrgicos en el Contexto de la Pandemia COVID-19 (V2). 2020;1–9. Available from: https://secipe.org/wordpress03/wp-content/uploads/2020/03/covidsecp3-1.pdf
46. Sociedad Chilena de Medicina del Trabajo. Pandemia por Coronavirus (Covid-19): Recomendaciones de Seguridad y Salud Ocupacional para Trabajadores de la Salud [Internet]. 2020. Available from: http://www.colegiomedico.cl/wp-content/uploads/2020/03/Recomendaciones-SOCHMET-Covid-19-para-trabajadores-de-la-salud-V01.pdf
47. Muñoz-Leyva F, Niazi A. Common breaches in biosafety during donning and doffing of protective personal equipment used in the care of COVID-19 patients. Can J Anaesth. 2020;0(0):1–2.
48. Protocolo ante el COVID-19 en el Área Quirúrgica del H.U.M. Valdecilla (versión 2.0) [Internet].2020 [cited 2 June 2020]. Available from: https://www.sedar.es/images/site/BIBLIOGRAFIA_COVID-19/Protocolos/PRTC_HUMValdecilla_Protocolo_Quirofano_general_v2.0.pdf
49. Murcia C. Medidas de Protección Recomendadas para los Trabajadores Según la Actividad Laboral Realizada en Casos de Investigación o Confirmados de COVID-19 [Internet]. Murciasalud.es. 2020 [cited 2 June 2020]. Available from: https://www.murciasalud.es/pagina.php?id=458269&idsec=5
50. Coccolini F, Perrone G, Chiarugi M, Di Marzo F, Ansaloni L, Scandroglio I et al. Surgery in COVID-19 patients: operational directives. World Journal of Emergency Surgery; 2020.
51. Heffernan D, Evans H, Huston J, Claridge J, Blake D, May A et al. Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Surgical InfectionsVol. 21, No. 4; 2020.
52. Steward J, Riley Kitley W, Schmidt C, Sundaram C. Urologic Surgery and COVID-19: How the Pandemic Is Changing the Way We Operate | Journal of Endourology [Internet]. Mary Ann Liebert, Inc., publishers. 2020 [cited 2 June 2020]. Available from: https://www.liebertpub.com/doi/10.1089/end.2020.0342
53. Qualliotine J, Orosco R. Self‐removing passive drain to facilitate postoperative care via telehealth during the COVID ‐19 pandemic. Wiley Online Library [Internet]. 2020.
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