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Review paper

Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period

By
Charalampos Seretis Orcid logo ,
Charalampos Seretis
Contact Charalampos Seretis

Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United Kingdom

Lucy Archer ,
Lucy Archer

Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, United Kingdom

Lida Lalou ,
Lida Lalou

Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, United Kingdom

Shuker Yahia ,
Shuker Yahia

Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, United Kingdom

Christian Katz ,
Christian Katz

Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, United Kingdom

Iram Parwaiz ,
Iram Parwaiz

Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, United Kingdom

Altaf Haji ,
Altaf Haji

Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, United Kingdom

Lourdusamy Selvam
Lourdusamy Selvam

Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, United Kingdom

Abstract

Aim
The outbreak of the COVID-19 pandemic has had a major impact on the delivery of elective, as well as emergency surgery on a worldwide scale. Up to date few studies have actually assessed the impact of COVID-19 on the postoperative morbidity and mortality following emergency gastrointestinal surgery. Herein, we present our relevant experience over a 3-month period of uninterrupted provision of emergency general surgery services in George Eliot Hospital NHS Trust, the United Kingdom.
Methods
We performed a retrospective analysis of a prospective institutional database, which included the operation types, paraclinical investigations and postoperative complications of all patients undergoing emergency general surgery operations between March-May 2020.
Results
The occurrence of a 5% overall respiratory complication rate postoperatively, with 3% infection rate for COVID-19 was found; no patient had unplanned return to intensive care for ventilator support and there was no mortality related to COVID-19 infection.
Conclusion
When indicated, emergency surgery should not be delayed in favour of expectant/conservative management in fear of COVID-19-related morbidity or mortality risks.

References

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Simone D, Chouillard B, E, Saverio D, Pagani S, Sartelli L, et al. Emergency surgery during the COVID-19 pandemic: what you need to know for practice. Ann R Coll Surg Engl. 2020. p. 323–32.
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Wexner S, Cortés-Guiral D, Gilshtein H, Kent I, Reymond M. COVID-19: impact on colorectal surgery. Colorectal Dis. 2020. p. 635–40.
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Coimbra R, Edwards S, Kurihara H, Bass G, Balogh Z, Tilsed J, et al. European Society of Trauma and Emergency Surgery (ESTES) recommendations for trauma and emergency surgery preparation during times of COVID-19 infection. Eur J Trauma Emerg Surg. 2020. p. 505–10.
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Francis N, Dort J, Cho E, Feldman L, Keller D, Lim R, et al.

Citation

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

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