Table.
The urgency of wound-related surgical procedures during the COVID-19 pandemic.
| CATEGORY | CONDITION | TIER CLASS |
|---|---|---|
| Wounds/Gangrene/Amputation | Lower extremity disease with non-salvageable limb (amputation) | 3 Do not postpone |
| Amputations for infection/necrosis (TMA, BKA, AKA) | 3 Do not postpone | |
| Amputations for infection/necrosis (toes) | 2b Postpone if possible | |
| Deep debridement of surgical wound infection or necrosis | 2b Postpone if possible | |
| Wounds requiring skin grafts | 2b Postpone if possible | |
| Venous | Procedures for ulcerations secondary to venous disease | 2a Consider postponing |
| Peripheral Vascular Disease | Acute limb ischemia | 3 Do not postpone |
| Limb ischemia, progressive tissue loss, acute limb ischemia, wet gangrene, ascending cellulitis | 3 Do not postpone | |
| Fasciotomy for compartment syndrome | 3 Do not postpone | |
| Peripheral vascular disease: chronic limb- threatening ischemia - rest pain or tissue loss | 2b Postpone if possible | |
| Peripheral angiograms and endovascular therapy for claudication | 1 Postpone | |
| Surgical procedures for claudication | 1 Postpone |
Adapted from the American College of Surgeons.36
TMA: transmetatarsal amputation; BKA: below-knee amputation; AKA: above-knee amputation