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SARS-CoV-2 infection is not associated with a higher rate of post-operative complications in adult appendectomy patients in Peru: Cross-sectional study.
Huamán Egoávil, Eduardo; LaGrone, Lacey; Ugarte Oscco, Regina; Endo Ramos, Sergio; Diaz Baltazar, Alex; Vergel Cabrera, César.
Afiliação
  • Huamán Egoávil E; Surgical Center of the Hospital Emergencia Ate Vitarte (HEAV), Carr. Central 506, Ate, 15491, Lima, Peru.
  • LaGrone L; Emergency and Critical Care Service of the Hospital Nacional Guillermo Almenara, Jirón García Naranjo 840, La Victoria 13, Lima, Peru.
  • Ugarte Oscco R; Trauma, Acute Care Surgery, Medical Center of the Rockies, UCHealth, 2500 Rocky Mountain Ave., Suite 2200, Loveland, CO, 80538, USA.
  • Endo Ramos S; Surgical Center of the Hospital Emergencia Ate Vitarte (HEAV), Carr. Central 506, Ate, 15491, Lima, Peru.
  • Diaz Baltazar A; Surgical Center of the Hospital Emergencia Ate Vitarte (HEAV), Carr. Central 506, Ate, 15491, Lima, Peru.
  • Vergel Cabrera C; Surgical Center of the Hospital Emergencia Ate Vitarte (HEAV), Carr. Central 506, Ate, 15491, Lima, Peru.
Ann Med Surg (Lond) ; 69: 102582, 2021 Sep.
Article em En | MEDLINE | ID: mdl-34306672
BACKGROUND: We present outcomes of patients with SARS-CoV-2 undergoing appendectomy in order to aid in clarification of current controversies regarding safety of therapeutic options for emergency surgical diseases in patients with SARS-CoV-2. Peru has the greatest number of per capita deaths due to SARS-CoV-2 of any country and is one of few with a COVID-dedicated hospital. MATERIALS AND METHODS: This prospective observational study included all adult patients with acute appendicitis admitted to an urban, public, COVID-dedicated hospital over two months. Baseline characteristics and post-operative outcomes at 28 days are reported. RESULTS: 58 patients, 35 male and 23 female, ages 15-73 years with SARS-CoV-2 as diagnosed by IgM (12%), IgG (19%) or both (69%) and acute appendicitis as diagnosed using the Alvarado Score and confirmed intraoperatively were enrolled. All patients presented with right lower quadrant pain, 86% with leukocytosis, 88% with nausea/emesis and no patients with respiratory complaints. All patients underwent open appendectomy, 90% under regional anesthesia. Average operative time was 54±25 min, length of stay 2.5±1.5 days. 14% of patients had a post-operative complication, all were minor, four (7%) incisional surgical site infections, one (2%) organ space, and three (5%) incisional seromas, no deaths or serious complications. CONCLUSION: Open surgical management of acute appendicitis with regional anesthesia in adults with pre-operative diagnosis of SARS-CoV-2 is feasible and not associated with an increased frequency or severity of post-operative complications, longer operative time, or extended hospitalization as compared to reports in similar patients without SARS-CoV-2.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies País/Região como assunto: America do sul / Peru Idioma: En Revista: Ann Med Surg (Lond) Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Peru País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies País/Região como assunto: America do sul / Peru Idioma: En Revista: Ann Med Surg (Lond) Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Peru País de publicação: Reino Unido