↓ Skip to main content

Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review

Overview of attention for article published in Clinics, May 2020
Altmetric Badge

Mentioned by

1 news outlet
1 blog
3 tweeters
1 Facebook page


32 Dimensions

Readers on

161 Mendeley
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review
Published in
Clinics, May 2020
DOI 10.6061/clinics/2020/e1923
Pubmed ID

Flávio Carneiro Hojaij, Lucas Albuquerque Chinelatto, Gustavo Henrique Pereira Boog, Júlia Adriana Kasmirski, João Vitor Ziroldo Lopes, Fernando Mauad Sacramento


The coronavirus disease (COVID-19) outbreak </mac_aq>started in Wuhan, China, in December 2019, and evolved into a global problem in a short period. The pandemic has led to many social and health-care challenges. In this context, surgery is an area that is facing the need for many adaptations. In this systematic literature review, we analyzed different perspectives concerning this situation, aiming to provide recommendations that could guide surgeons and </mac_aq>entities toward screening, elective and emergency surgeries, decision making, and operating room management. A computerized search in PubMed, Scopus, and Scientific Electronic Library Online (SciELO) for relevant literature up to April 4, 2020, was performed. Articles were included if they were related to surgery dynamics in the context of the COVID-19 pandemic. Of the 281 articles found in our initial search and 15 articles from alternative sources, 39 were included in our review after a systematic evaluation. Concerning preoperative testing </mac_aq>for severe acute respiratory syndrome coronavirus 2 infection, 29 (74.4%) articles recommended some kind of </mac_aq>screening. Another major suggestion was postponing all (or at least selected) elective operations (29 articles, </mac_aq>74.4%). Several additional recommendations with respect to surgical practice or surgical staff were also assessed and discussed, such as performing laparoscopic surgeries and avoiding the use of electrocauterization. On the basis of the current literature, we concluded that any surgery that can be delayed should be postponed. COVID-19 screening is strongly recommended for all surgical cases. Moreover, surgical staff should be reduced to the essential members and provided with institutional psychological support.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 161 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 161 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 21 13%
Researcher 19 12%
Student > Master 13 8%
Student > Ph. D. Student 10 6%
Student > Doctoral Student 9 6%
Other 38 24%
Unknown 51 32%
Readers by discipline Count As %
Medicine and Dentistry 48 30%
Nursing and Health Professions 15 9%
Biochemistry, Genetics and Molecular Biology 7 4%
Social Sciences 6 4%
Psychology 4 2%
Other 24 15%
Unknown 57 35%