Abstract
Background The novel coronavirus disease 2019 (COVID-19) has swept the world in the last several
months, causing massive disruption to existing social, economic, and health care systems.
As with all medical fields, plastic and reconstructive surgery has been profoundly
impacted across the entire spectrum of practice from academic medical centers to solo
private practice. The decision to preserve vital life-saving equipment and cancel
elective procedures to protect patients and medical staff has been extremely challenging
on multiple levels. Frequent and inconsistent messaging disseminated by many voices
on the national stage often conflicts and serves only to exacerbate an already difficult
decision-making process.
Methods A survey of relevant COVID-19 literature is presented, and bioethical principles
are utilized to generate guidelines for plastic surgeons in patient care through this
pandemic.
Results A cohesive framework based upon core bioethical values is presented here to assist
plastic surgeons in navigating this rapidly evolving global pandemic.
Conclusion Plastic surgeons around the world have been affected by COVID-19 and will adapt to
continue serving their patients. The lessons learned in this present pandemic will
undoubtedly prove useful in future challenges to come.
Keywords
plastic surgery - reconstructive surgery - coronavirus - pandemic
