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3 May 2020 ANNOUNCEMENTS BD

Dear members and colleagues,
EEEX, under constant updating of data, studies and announcements regarding the progress of the global Covid-19 pandemic, is trying to provide documented and well-founded guidelines to the Hellenic Surgical Community and especially to colleagues who apply the minimally invasive techniques. with the decisions and instructions of EODY.
Based on the above and the continuously acquired experience from the course so far, we announce and suggest the following:

• Gradual planning of all types of regular surgeries, always with priority on emergencies and oncology cases, from Monday, May 4, 2020.
• The number of planned interventions will always be determined according to the capacity of each clinic and hospital, harmonized with the decisions of the ministry and the administration of the Hospital.
• Strict adherence to the SARS-CoV-2 virus detection method, in the preoperative examination of all patients who will be operated on, within a certain period of time before their introduction, except in extremely urgent cases.
• The predominance in the safety of the type of surgery (laparoscopic or open), in relation to the Covid-19 pandemic, has not been proven to date in any study, with the result that the choice is determined by the experience and advantages that exist so far.
• Laparoscopic access is NOT contraindicated for both regular and emergency cases, on the contrary it presents advantages that are very important for the safety of patients and staff such as:

1. Less hospitalization time resulting in faster patient treatment, and release of beds, respirators and medications.
2. Less hospitalization in patients with covid-19, resulting in better survival and shorter hospital stay.
3. A very limited surgical field compared to “open surgery”, and therefore a much lower chance of dispersing body fluids and tissues, resulting in a much reduced chance of infecting staff.
4. Ability to manage and avoid diffusion of surgical smoke, as it is confined to the peritoneal cavity and can be removed from the central suction with or without the use of smoke evacuation devices

• The implementation of all measures to protect staff in the interventional phase, continues uninterruptedly as mentioned in previous announcements, and at the same time we suggest:
1. Use of reduced pneumoperitoneal pressure, and remove it at the end of the operation, with a suction device, if possible
2. Minimize the use of energy devices as much as possible, and where necessary avoidance of ultrasonic energy devices
3. Although the possibility of transmitting COVID-19 virus by aerosol is completely theoretical (since the bibliographic documentation is completely missing), the use of smoke evacuation devices and / or ULPA filters is encouraged.

Dear members and colleagues, EEEX is always at the center of developments, aiming at continuous information and information with the constantly updated data during this difficult period of the pandemic.
There will be continuous announcements of the new data with valid bibliographic sources.
We stay safe, we stay informed !!

CHAIRMAN: S. Kapiris

A DEPUTY CHAIRMAN: G. Tzovaras

B DEPUTY CHAIRMAN: F. Archontovasilis

SECRETARY GENERAL: G. Sabalis

SPECIAL SECRETARY: G. Agiomamitis

TREASURER:V. Drakopoulos

CONSULTANTS: D. Theodorou-M. Papoudos- N. Georgopoulos


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31 March 2020 ANNOUNCEMENTS BD

The Hellenic Accosiation of Endoscopic Surgery considers it its duty to continuously inform all its members and all colleagues in the Greek Medical Community, regarding the constantly provided information, studies, announcements and instructions of the international surgery – and not only – community, and in particular of the General and Endoscopic Surgery Companies, in relation to the galloping Covid-19 pandemic.

It is a fact that the events taking place on a domestic and global scale are forcing us to be vigilant about the timely and continuous information of surgeons and staff, with the aim of protecting them and our patients from the multiple manifestations of its manifestations. virus during surgery and endoscopic surgery.

There are currently no new data on the contagion and spread of the virus during “open” or laparoscopic procedures, the use of filters and the increased personal precautionary measures. Nevertheless, the above-mentioned issues and questions are under constant study and scientific research, and it is possible that very soon VASSIMA results and instructions will be announced, in which the EEEX will take a position and draw similar conclusions.

Following the decision of the Board of Directors, EEEX will continuously and uninterruptedly present all the most up-to-date publications and studies, from the most reputable scientific centers and companies, magazines and websites with the aim of informing you immediately and continuously.

The update will take place in PRESENT ANNOUNCEMENT on our website with updates.

CHAIRMAN: S. Kapiris and the other members of the Board:

A DEPUTY CHAIRMAN: G. Tzovaras

B DEPUTY CHAIRMAN: F. Archontovasilis

SECRETARY GENERAL: G. Sabalis

SPECIAL SECRETARY: G. Agiomamitis

TREASURER:V. Drakopoulos

CONSULTANTS: D. Theodorou-M. Papoudos- N. Georgopoulos

LINKS INTERVENTION OF PUBLICATIONS-INFORMATION-SCIENCES OF STABILITIES:

HELLENIC SURGERY COMPANY: I NEED COVID-19 INFORMATION: INSTRUCTIONS FOR THE REGISTRATION OF SURGICAL SURGERY SURGERY

SAGES AND EAES RECOMMENDATIONS REGARDING SURGICAL RESPONSE TO COVID-19 CRISIS

Intercollegiate General Surgery Guidance on COVID-19 UPDATE

American Society for Gastrointestinal Endoscopy: COVID-19 Clinical Insights for Our Community of Gastroenterologists and Gastroenterology Care Providers

Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients

SAGES: RESOURCES FOR SMOKE & GAS EVACUATION DURING OPEN, LAPAROSCOPIC, AND ENDOSCOPIC PROCEDURES

Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy

 

UPDATE April 2, 2020

Important Post on Nature: NEW DATA FOR THE IMPROVEMENT OF YOUR COVID 19 TO BODY WATER / EXPRESSIONS »

https://www.nature.com/articles/s41586-020-2196-x

Where the full article in PDF format:

Virological assessment of hospitalized patients with COVID-2019

The important elements listed in the above article-study are:

“The SARS-CoV-2 virus (which causes COVID-19) is NOT detected in the blood or urine. In addition, no living viruses (capable of causing infection) are detected in the stool, except for the virus RNA. The presence of RNA material of the virus in the stool (non-living viruses) is explained by the ingestion of secretions of the upper respiratory tract or the possible multiplication of the virus but its conversion into NON-LOIMOGON form from its contact with intestinal secretions. COMMENTARY: Non-detection of live viruses in the blood and feces makes it very unlikely that COVID-19 will be transmitted by intraperitoneal sublimation / aerosol. ”

UPDATE April 22, 2020

Important Post in JMIG: “Understanding the“ Scope ”of the Problem: Why Laparoscopy is Considered Safe During the COVID-19 Pandemic”

https://www.jmig.org/article/S1553-4650(20)30171-0/fulltext

Where the full article in PDF format:

Understanding the “Scope” of the Problem: Why Laparoscopy is Considered Safe During the COVID-19 Pandemic

The important elements listed in the above article-study are:

“We believe laparoscopy offers the opportunity for better containment and filtration of surgical gas and plume compared to laparotomy, and continues to offer vastly more health benefits, especially during COVID-19 pandemic and when valuable PPE and hospital resources as well as minimizing viral exposure risks are so critical to mitigating this public health crisis. ”


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22 March 2020 ANNOUNCEMENTS BD

Dear Colleagues,

The Hellenic Accosiation of Endoscopic Surgery considers that it its duty to take a stand on the protection and care of patients, surgeons and staff and all those served by the medical community in general, in relation to the galloping COVID-19 pandemic. For this reason, following and adopting the instructions of the National Public Health Organization (EODY), but also taking seriously the instructions of reputable international scientific companies, he proposes the following:

  1. Postponement of ALL scheduled scheduled surgeries and endoscopies for the time being.
  2. Strictly adhere only to emergencies and oncological surgeries with the highest priority given to life-threatening conditions.
  3. All other interventions should be postponed until conditions allow and EODY.
    In this way, the risk of the epidemic spreading to patients, their relatives and health personnel is significantly reduced.

At the same time it reduces the use of extremely necessary “means” such as beds, respirators and personal protective equipment (PPE).

All non-essential hospital-clinical or office staff should stay home and use teleworking methods.
All educational activities that require physical presence should be postponed.
All non-emergency patient visits to clinics / clinics should be postponed or canceled, except for patients with active symptoms or surgical trauma care.
Please stay at home, as far as your obligations allow, being informed by the constantly posted instructions of EODY, and also through the announcements of the Company.
Dear colleagues and dear members, in the difficult times that the country and the citizens are experiencing, the support of our patients, their care and safety, as well as the safety of us and our families, has a prominent role.

Our position is extremely important and crucial in tackling this catastrophe that plagues the world, and for this reason seriousness, sobriety, attention, prudence and strict adherence to the rules are required.

CHAIRMAN: S. Kapiris

A DEPUTY CHAIRMAN: G. Tzovaras

B DEPUTY CHAIRMAN: F. Archontovasilis

SECRETARY GENERAL: G. Sabalis

SPECIAL SECRETARY: G. Agiomamitis

TREASURER:V. Drakopoulos

CONSULTANTS: D. Theodorou-M. Papoudos- N. Georgopoulos



9 December 2019 ANNOUNCEMENTS BD

The elections for the new Board of Directors were held on December 6, 2019.

 

The new Board of Directors is as follows:

CHAIRMAN: S. Kapiris

A DEPUTY CHAIRMAN: G. Tzovaras

B DEPUTY CHAIRMAN: F. Archontovasilis

SECRETARY GENERAL: G. Sabalis

SPECIAL SECRETARY: G. Agiomamitis

TREASURER:V. Drakopoulos

CONSULTANTS: D. Theodorou-M. Papoudos- N. Georgopoulos



17 November 2019 ANNOUNCEMENTS BD

To the members of EEEX,

The announcement of elections for the election of a new Board of Directors of EEEX for the two years 2020 – 2021 is announced, as the term of the previous Board of Directors expires in December 2019.

The positions of chairman, a deputy chairman ,b deputy chairman

secretary general, special secretary ,treasurer and two advisors / members are being filled in the electoral process.

All EEEX members who are fully financially sound and have completed at least 2 years of regular subscription to EEEX have the right to apply for participation in the elections.

Those interested should submit their candidacy in writing, stating the position for which they are interested, until 29/11/2019. The application is sent by email to the General Secretary of EEEX Mr. Archontovasilis (arfotis@gmail.com), with whom you can contact for any information or clarification regarding the electoral process.

The first election date is set for December 5, 2019, at 17:00, at the offices of EEEX, 23 Meandrou, Athens.

In case of non-quorum of the General Assembly (presence of less than 1/3 of the regular members of EEEX), then the elections will be repeated on Saturday 14/12/2019 at a time and place that will be announced after 5/12/2019.

You can contact the Treasurer of EEEX, Mr. Agiomamitis (agiogeo@gmail.com), regarding your financial issues.

Yours sincerely,

The Chairman                                  The Secretary General

Theodorou Dimitris                        Archontovasilis Fotis

 

 



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