Outcome of surgical emergencies in COVID positive individuals- a Case series


Outcome of surgical emergencies in COVID positive individuals- a Case series


Dr. Alex Edwards1, Dr. Rithik Raja2, Dr.Pabithadevi B.Mehanathan3

1Professor and Head, Department of General Surgery, Tirunelveli Medical college, Tirunelveli, India; 2Junior resident, Department of General Surgery, Tirunelveli Medical college, Tirunelveli, India; 3Professor of Surgery,Department of General Surgery,Tirunelveli Medical college,Tirunelveli India


Introduction: This manuscript will dealt with the outcome of emergency surgeries in COVID19 positive individuals. We are under the second wave of COVID pandemic. The research is ongoing regarding the outcome of patients who are undergoing, surgical treatment with COVID Rt-PCR positivity or become COVID positive during early postoperative period.

Materials and Methods: All the patients who attended the emergency department of a tertiary care centre were screened for COVID -19 by RT-pcR and the patients who are COVID positive but needed emergency surgical procedure were included in the study. A cohort of 49 patients who were COVID positive and needed emergency surgical procedure due to various causes were included in the study.

Results:The causes of acute surgical emergencies were acute appendicitis, appendicular perforation, perforative peritonitis, obstructed/ strangulated inguinal hernia, intestinal obstruction, diabetic foot and perianal abscess. Most of the patients belong to the age group between 40 – 70 years. 63.8% were males. The mortality rate was 12.8%. More than one co-morbid condition was present in 8.5% of individuals. Most of the patients got discharged in 10 – 12 days. 40.4% have co morbid conditions like diabetes or hypertension. 8.5% had more than one co morbid conditions. Diabetes was present in 27.7% of cases

Conclusion: The mortality was high during the postoperative period of COVID positive cases, extreme care and precaution should be taken to avoid pulmonary complications


Keywords: Outcome; Surgical emergencies;  COVID positive individuals

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How to cite this article:

Alex Edwards, Rithik Raja, Pabithadevi B.Mehanathan. Outcome of surgical emergencies in COVID positive individuals- a Case series. International Journal of Case Reports, 2021,5:243. DOI: 10.28933/ijcr-2021-07-2107


References:

1. Mr. Aneel Bhangu et al. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Lancet 2020; 396: 27–38
2. Francesco Doglietto, MD, PhD; Marika Vezzoli, PhD; Federico Gheza, MD et al. Factors Associated With Surgical Mortality and Complications Among Patients With and Without Coronavirus Disease 2019 [COVID-19] in Italy. JAMA surgery. August 2020 ; 155[8]:691-702.
3. Chen Nahshon, Arie Bitterman, Riad Haddad et al. Hazardous Postoperative Outcomes of Unexpected COVID-19 Infected Patients: A Call for Global Consideration of Sampling all Asymptomatic Patients Before Surgical Treatment. World J Surg [2020]; 44:2477–2481


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