Worldwide health institutions have issued temporary regulations to postpone not necessary surgical procedures and only perform urgent ones. These regulations must be followed. Such a situation has never existed before.
This raises the question, what is an urgent operation and what is not?
Therefore, the German Society for General and Visceral Surgery (DGAV), created a list of diseases that can be used as an indication for urgent surgeries.
- Cancer patients
- Endocrine diseases
- Hyperthyroidism that cannot be treated conservatively
- Trachea constricting thyroid enlargement
- Hormone producing tumors of the adrenal gland or pancreas
- Pheochromocytoma
- Hernias with incarceration or suspected incarceration
- Perforations in hollow organ
- GI hemorrhage
- Ileus
- Acute abdomen
- Pancreatitis
- Acute cholecystitis
- Acute appendicitis
- Toxic ulcerative colitis or Crohn´s disease
- Orang transplantation / explantation
This compilation is intended to help you decide which operations should be performed. Even in these times, an indication for surgery remains a surgical decision. The surgeon takes the ultimate responsibility. Thereby he has to take into consideration both, the patient with his illness and any considered risk factor regarding the current situation. Hence, operations not listed above could be still performed.
(Source: Rundschreiben der Deutschen Gesellschaft für Allgemein- und Viszeralchiurgie e. V. vom 21.03.2020, Prof. Dr. H.J. Buhr)
Webop wants to show solidarity during the crisis and provides free lectures on these operations: