surgoncoКреативная хирургия и онкологияCreative surgery and oncology2076-30932307-0501Башкирский государственный медицинский университет10.24060/2076-3093-2022-12-3-193-198surgonco-713Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSОсобенности оказания хирургической помощи в условиях пандемии COVID-19 (обзор литературы)Surgical Care under COVID-19 Pandemic Conditions (Literature Review)https://orcid.org/0000-0002-6664-1308ТимербулатовМ. В.TimerbulatovM. V.

д.м.н., профессор, кафедра факультетской хирургии

Уфа

Dr. Sci. (Med.), Prof., Department of Faculty Surgery

Ufa

https://orcid.org/0000-0002-4832-6363ГараевР. Р.GaraevR. R.

кафедра хирургии с курсом эндоскопии ИДПО

Уфа

Department of Surgery with a course of Endoscopy for AdvancedProfessional Education

Ufa

ТимербулатовШ. В.TimerbulatovSh. V.

д.м.н., кафедра хирургии с курсом эндоскопии ИДПО

Уфа

Dr. Sci. (Med.), Department of Surgery with a course of Endoscopy for Advanced Professional Education

Ufa

БакировА. А.BakirovA. A.

д.м.н., профессор, кафедра общей хирургии с курсами трансплантологии и лучевой диагностики ИДПО

Уфа

Dr. Sci. (Med.), Prof., Department of General Surgery with Transplantology and X-ray Diagnostics Courses for AdvancedProfessional Education

Ufa

https://orcid.org/0000-0003-2874-7213ГафароваА. Р.GafarovaA. R.

кафедра хирургии с курсом эндоскопии ИДПО

Уфа

 

Departmentnof Surgery with a course of Endoscopy for AdvancedProfessional Education

Ufa

argafarova@yandex.ruБашкирский государственный медицинский университетРоссияBashkir State Medical UniversityRussian Federation202224102022123193198Copyright © Тимербулатов М.В., Гараев Р.Р., Тимербулатов Ш.В., Бакиров А.А., Гафарова А.Р., 20222022Тимербулатов М.В., Гараев Р.Р., Тимербулатов Ш.В., Бакиров А.А., Гафарова А.Р.Timerbulatov M.V., Garaev R.R., Timerbulatov S.V., Bakirov A.A., Gafarova A.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.surgonco.ru/jour/article/view/713

С марта 2020 года – момента объявления ВОЗ пандемии COVID-19 – новая коронавирусная инфекция широко распространилась по всему миру, унося жизни многих людей и разрушая экономику, социальную структуру, различные стороны жизни населения. Пандемия оказала серьезное влияние на работу медицинских учреждений, в том числе на деятельность хирургической службы, после объявления ВОЗ пандемии. Система здравоохранения вынуждена была перестроить полностью свою работу. Потребность развертывания значительного числа инфекционных коек вызвала необходимость перепрофилирования многих медицинских организаций в ковид-госпитали с сокращением хирургических отделений и коек. Ввиду этого плановые операции были отменены и отсрочены. Экстренная хирургическая помощь оказывалась в необходимом объеме, хоть и в сокращенном варианте, в основном это связано со снижением количества больных, которые обращались за неотложной хирургической помощью из-за страха заразиться COVID-19. По литературным данным отмечается значительное повышение числа периоперационных осложнений и летальности, особенно у пациентов с острой хирургической патологией и сопутствующей COVID-19. В статье приведены данные специальной литературы по вопросам особенностей оказания хирургической помощи в условиях пандемии коронавирусной инфекции, изменение ряда облигатных показателей качества оказания хирургической помощи больным.

Since March 2020, when COVID-19 pandemic was declared by WHO, the new coronavirus infection has spread widely around the world, claiming many lives and destroying the economies, social structures, and various aspects of people’s lives. The pandemic has had a major impact on health facilities, including the surgical service. The healthcare system had to completely reorganize its methods of work. The need to deploy a significant number of infectious disease beds necessitated the convertion of many medical organizations into Covid hospitals, with a reduction in surgical units and beds. The scheduled surgical operations were therefore cancelled and postponed. Emergency surgical care was provided as needed, albeit in a reduced scope. The number of patients seeking emergency surgical care decreased mainly due to the fear of contracting COVID-19. The data show that there is a significant increase in the number of perioperative complications and mortality, especially in patients with acute surgical pathology and co-occurring COVID-19. The paper presents the data from professional literature on the peculiarities of surgical care in the context of the coronavirus pandemic, changes in a number of obligatory indicators of the quality of surgical care for patients.

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The authors declare that there are no conflicts of interest present.