A nationwide survey on the impact of COVID-19 pandemic on minimal invasive surgery in urology practice

dc.authorid0000-0002-3474-3510
dc.authorid0000-0002-4647-4864
dc.contributor.authorDanacıoğlu, Yavuz Onur
dc.contributor.authorSoytaş, Mustafa
dc.contributor.authorPolat, Salih
dc.contributor.authorÖzdemir, Osman
dc.contributor.authorArıkan, Özgür
dc.contributor.authorYenice, Mustafa Gürkan
dc.contributor.authorAtış, Ramazan Gökhan
dc.contributor.authorTaşçı, Ali İhsan
dc.date.accessioned2021-10-06T13:47:38Z
dc.date.available2021-10-06T13:47:38Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractObjective: The beta-coronavirus (COVID-19) pandemic has changed the clinical approach of 93% of urologists worldwide, and this situation has affected the use of laparoscopic and robot-assisted laparoscopic methods, which are known as minimally invasive surgery (MIS). This study aimed to determine the effects of the COVID-19 pandemic on MIS in urology practice at national level. Design, setting and participants: A total of 234 urologists in Turkey participated in an online survey between August 22 and September 23, 2020. Outcome measurements and statistical analysis: Descriptive statistical analyses were conducted to determine the participants’ demographic characteristics and responses to multiple-choice questions. Results: While 54% of urologists stated that they were concerned about the possibility that the patients planned to undergo MIS were carrying COVID-19 or false-negative for the virus, 51% considered that open surgery was safer than MIS in this regard. The pandemic led to a difference in the preferences of 40% of the urologists in relation to open or MIS methods, and during the pandemic, 39% of the urologists always directed their patients to open surgery. It was determined that during the pandemic, there was a statistical decrease in the intensity and weekly application of MIS methods among all surgical procedures compared to the pre-pandemic (P <.001 and P <.001, respectively). MIS was preferred for oncological operations by 97.3% of the urologists during the pandemic, with the most performed operation being radical nephrectomy (90.7%). Among oncological operations, radical prostatectomy was most frequently postponed. To prevent virus transmission during MIS, 44% of the urologists reported that they always used an additional evacuation system and 52% took additional precautions. There were a total of 27 healthcare workers who took part in MIS and tested positive for COVID-19 after the operation. Conclusions: Although the number of operations has decreased during the ongoing pandemic, MIS is a method that can be preferred due to its limited contamination and mortality in urology practice provided that safety measures are taken and guideline recommendations are followed.
dc.identifier.citationDanacıoğlu, Y. O., Soytaş, M., Polat, S., Özdemir, O., Arıkan, Ö., Yenice, M. G. ... Taşçı, A. İ. (2021). A nationwide survey on the impact of COVID-19 pandemic on minimal invasive surgery in urology practice. International Journal of Clinical Practice, 75(8). https://dx.doi.org/10.1111/ijcp.14309
dc.identifier.doi10.1111/ijcp.14309
dc.identifier.issn1368-5031
dc.identifier.issn1742-1241
dc.identifier.issue8
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://dx.doi.org/10.1111/ijcp.14309
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8376
dc.identifier.volume75
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofInternational Journal of Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCOVID- 19
dc.subjectPandemic
dc.subjectUrology
dc.titleA nationwide survey on the impact of COVID-19 pandemic on minimal invasive surgery in urology practice
dc.typeArticle

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