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Resuming elective surgical services in times of COVID-19 infection
  1. Raul Coimbra1,2,3,
  2. Sara Edwards1,4,
  3. Bruno Cammarota Coimbra3,5,
  4. Arnold Tabuenca4,6
  1. 1 Department of Surgery, Riverside University Health System, Moreno Valley, California, USA
  2. 2 School of Medicine, Loma Linda University, Loma Linda, California, USA
  3. 3 CECORC—Comparative Effectiveness and Clinical Outcomes Research Center, Riverside University Health System, Moreno Valley, California, USA
  4. 4 Surgery, University of California Riverside School of Medicine, Riverside, California, USA
  5. 5 University of California Santa Barbara, Santa Barbara, California, USA
  6. 6 Surgery—Administration, Riverside University Health System, Moreno Valley, California, USA
  1. Correspondence to Dr Raul Coimbra; raulcoimbra62{at}


The consequences of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus have been devastating to the healthcare system.

As the positive effects of social distancing, mandatory masking, and societal lockdown on the spread of the disease and its incidence in the community were documented, societal and financial pressures mounted worldwide, prompting efforts to “re-open” countries, states, communities, businesses, and schools. The same happened with hospital, which had to start developing strategies to resume elective surgery activities. This manuscript describes the pre-requisites as well as the strategies for resuming surgical activity, be it in the outpatient or inpatient setting.

  • delivery of health care
  • general surgery
  • guideline
  • health care quality, access, and evaluation

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:

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  • Contributors RC developed the study design. BCC, SE, RC performed literature search. All authors contributed equally for manuscript writing and revisions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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