PMC:7164859 / 9525-10681 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7164859","sourcedb":"PMC","sourceid":"7164859","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7164859","text":"Laparoscopy equipment and surgical technique\nThe risk of contamination of HCPs is highest during the insertion of trocars, extraction of the excised tissues and removal of trocars at the end of the operation. Technical measures are summarised in Table 1 .\nTable 1 Technical measures for preventing contamination of HCPs by SARS-CoV-2.\nPrefer the “closed” technique for obtaining pneumoperitoneum\nReduce the pneumoperitoneum pressure as much as possible (without compromising safety)\nReduce the power of electrosurgery and ultrasonic dissection\nSystematically use laparoscopic smoke aspiration systems\nSystematically use particle filters\nPrefer intracorporeal anastomosis\nExtract excised tissue after complete emptying of the pneumoperitoneum\nFully aspirate the pneumoperitoneum before removing the last trocar\nAs the virus can be present in the digestive tract [22], intracorporeal anastomosis (particularly in colorectal surgery) is to be preferred because it reduces the risk of contamination of the HCPs.\nLastly, there is no data in the literature suggesting that laparoscopy should be systematically replaced by laparotomy during the Covid-19 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