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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-A01461-38 | Other Identifier | ID-RCB number,ANSM |
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Sars-Cov2 has been found in the digestive tract, as well as the respiratory tract. Protection of health care workers during surgery has been increased and some guidelines advocate for abandoning laparoscopy in COVID19 patients for fear of contamination, evenghtough this does not benefit the patient. However, Sars-Cov2 contamination risk during visceral surgery remains unknown. Inadequate protection is unnecessary costful and can be inefficient if too binding. Our hypotheses are that 1) Sars-Cov 2 can travel through droplet and air during visceral surgery. 2) Laparoscopy, because of the pneumoperitoneum and its leaks, warrant more air contamination whereas laparotomy warrant more droplet contamination, which would justified increased protection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| COVID19 patients undergoing visceral surgery | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cartography of air contamination, environment contamination and biological fluid by Sars-Cov2 during visceral surgery in COVID19 patients. | Other | Air sampling, operating room surfaces sampling and patients' biological fluid sampling for Sars-Cov2 quantification |
| Measure | Description | Time Frame |
|---|---|---|
| Air contamination | Composite criteria: "50cm above the operating site" and/or "1m50 from the operating site" and/or "3m from the operating site" | 10 minutes after incision if no opening of the digestive lumen, or 10 minutes after opening of the digestive tract |
| Measure | Description | Time Frame |
|---|---|---|
| Environment contamination | Cartography of Sars-Cov2 environment surface contamination | At the end of surgery, an average 1 hour 30 min |
| Surgical approach | Composite criteria: air contamination or environment contamination positivity rate according to surgical approach (laparoscopy or laparotomy) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robert CAIAZZO, MD,PhD | University Hospital, Lille | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hop Claude Huriez Chu Lille | Lille | 59037 | France |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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COVID19 patients undergoing visceral surgery
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| At the end of the intervention, an average 2 hours |
| Opening of the digestive tract | Composite criteria: air contamination or environment contamination positivity rate according to opening of digestive tract status (opened or not) | At the end of the intervention,an average 2 hours |
| Biological fluids | Cartography of Sars-Cov2 presence in biological fluids (blood, stools, peritoneal fluid, digestive fluids, sputum, bile) | During the procedure, an average 2 hours 30 min |
| Pneumoperitoneum | Presence of Sars-Cov 2 in pneumoperitoneum, evaluated on surgical smoke filter | At the end of the procedure,an average 2 hours 30 min |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |