tetano
Editor, Senior Moderator
Langenbecks Arch Surg
. 2020 Jul 27.
doi: 10.1007/s00423-020-01948-2. Online ahead of print.
Acute abdomen in patients with SARS-CoV-2 infection or co-infection
Barbara Seeliger[SUP] 1 2 [/SUP], Guillaume Philouze[SUP] 2 [/SUP], Zineb Cherkaoui[SUP] 1 2 3 [/SUP], Emanuele Felli[SUP] 2 3 [/SUP], Didier Mutter[SUP] 1 2 [/SUP], Patrick Pessaux[SUP] 4 5 6 [/SUP]
Affiliations
Abstract
Purpose: Patients with an acute abdomen require emergency surgery. SARS-CoV-2 infection can affect multiple organ systems, including the digestive tract. Little is known about the consequences of COVID-19 infection in emergency surgical patients.
Methods: Perioperative data for COVID-19 patients undergoing emergency surgery from March 1, 2020, to May 23, 2020 were collected prospectively (NCT04323644).
Results: During this period, 215 patients underwent surgery, including 127 patients in an emergency setting, of whom 13 (10.2%) had COVID-19. Two scenarios were identified: (a) patients who were admitted to a hospital for an acute surgical condition with a concomitant diagnosis of COVID-19, and (b) patients with severe COVID-19 developing acute abdominal pathologies during their hospital stay. When compared with those in group B, patients in group A globally recovered better, with a lower mortality rate (14.3% vs. 33.3%), lower ARDS rate (28.5% vs. 50.0%), less rates of preoperative invasive ventilation (14.3% vs. 50.0%) and postoperative invasive ventilation (28.5% vs. 100.0%), and a shorter duration of invasive ventilation. No causality between SARS-CoV-2 infection and gastrointestinal affliction was found.
Conclusion: Our observations underline that mild co-infection with COVID-19 did not result in more complications for emergency abdominal surgery. Howe, an acute abdomen during severe COVID-19 infection was part of an unfavorable prognosis.
Keywords: Abdominal surgery; Acute abdomen; COVID-19; Laparoscopy; Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
. 2020 Jul 27.
doi: 10.1007/s00423-020-01948-2. Online ahead of print.
Acute abdomen in patients with SARS-CoV-2 infection or co-infection
Barbara Seeliger[SUP] 1 2 [/SUP], Guillaume Philouze[SUP] 2 [/SUP], Zineb Cherkaoui[SUP] 1 2 3 [/SUP], Emanuele Felli[SUP] 2 3 [/SUP], Didier Mutter[SUP] 1 2 [/SUP], Patrick Pessaux[SUP] 4 5 6 [/SUP]
Affiliations
- PMID: 32720012
- DOI: 10.1007/s00423-020-01948-2
Abstract
Purpose: Patients with an acute abdomen require emergency surgery. SARS-CoV-2 infection can affect multiple organ systems, including the digestive tract. Little is known about the consequences of COVID-19 infection in emergency surgical patients.
Methods: Perioperative data for COVID-19 patients undergoing emergency surgery from March 1, 2020, to May 23, 2020 were collected prospectively (NCT04323644).
Results: During this period, 215 patients underwent surgery, including 127 patients in an emergency setting, of whom 13 (10.2%) had COVID-19. Two scenarios were identified: (a) patients who were admitted to a hospital for an acute surgical condition with a concomitant diagnosis of COVID-19, and (b) patients with severe COVID-19 developing acute abdominal pathologies during their hospital stay. When compared with those in group B, patients in group A globally recovered better, with a lower mortality rate (14.3% vs. 33.3%), lower ARDS rate (28.5% vs. 50.0%), less rates of preoperative invasive ventilation (14.3% vs. 50.0%) and postoperative invasive ventilation (28.5% vs. 100.0%), and a shorter duration of invasive ventilation. No causality between SARS-CoV-2 infection and gastrointestinal affliction was found.
Conclusion: Our observations underline that mild co-infection with COVID-19 did not result in more complications for emergency abdominal surgery. Howe, an acute abdomen during severe COVID-19 infection was part of an unfavorable prognosis.
Keywords: Abdominal surgery; Acute abdomen; COVID-19; Laparoscopy; Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).