Remodeling of the surgical service and features of the management of surgical patients during the СOVID-19 pandemic in the municipal multidisciplinary clinical hospital

Abstract

Conducting surgical interventions during a pandemic requires taking into account a number of specific factors affecting the performance of operations both in patients with coronavirus infection and conditionally “clean” patients. An analysis was made of the treatment of patients with acute surgical diseases of the abdominal cavity in the Central City Clinical Hospital of Veliky Novgorod for the period from 2017 to 2021, and the results of treatment of 4455 patients with "acute abdomen", including 267 patients with COVID-19 during the pandemic 2020-2021, were separately studied. 2021 The issues of routing and selection of patients in need of emergency and planned operations, the principles of functioning of the surgical department, the operating room, the features of ensuring the safety of personnel during operations in infected patients, the choice of priority intervention for the surgical treatment of patients with acute surgical diseases of the abdominal organs are considered.