Safety Considerations of Laparoscopic Surgeries for Anesthesiologists During COVID-۱۹ Pandemic?

By overcoming the peak of the coronavirus disease ۲۰۱۹ (COVID-۱۹) and the need to reopen the elective operating rooms, it is necessary to pay attention to the risks that may not have been previously considered in daily practice. As the virus has been demonstrated in respiratory tract samples, in feces, blood, serum, saliva, and lymph, and it has been shown that the virus can remain for an extended time in the air due to aerosol-generating medical procedures such as intubation, laparoscopic surgery is subject to challenge to find the safest way for patients and particularly health care workers (۱). Laparoscopic surgeries are so interesting for surgeons and patients due to advantages such as reduced postoperative pain, shorter hospital stay, and fewer cosmetic issues (۲). Many manuscripts focus on surgical procedures and only their recommendations are about laparoscopy techniques and trocars leakage. Surprisingly, to assess the risks and benefits of this challenge there is limited evidence about the safety of the anesthesiology team while there is no warranty that asymptomatic patients are not infected, whiles it is clear that protecting healthcare workers is a top priority (۳-۵). When it is possible to do surgery with spinalanesthesia in most gynecological procedures why we should impose high-risk procedures like intubation and extubation to anesthesiologists due to laparoscopic plans and expose all health care worker to that (۳-۵). Some suggestions for conducting laparoscopy in safer operating room settings during the COVID-۱۹ outbreak are presented: