Outcomes after emergency abdominal surgery in COVID-19 patients at a referral center in Brazil

Abstract

Purpose COVID-19 is associated with high morbidity and mortality in patients undergoing surgery. Contrary to elective procedures, emergency operations should not be postponed. We aim to evaluate the profile and outcomes of COVID-19 patients who underwent emergency abdominal surgery. Methods We performed a retrospective analysis of perioperative data of COVID-19 patients undergoing emergency surgery from April 2020 to August 2020. Results Eighty-two patients were evaluated due to abdominal complaints, yielding 22 emergency surgeries. The mean APACHE II and SAPS were 18.7 and 68, respectively. Six patients had a PaO 2 /FiO 2 lower than 200 and more than 50% of parenchymal compromise on chest tomography. The most common indications for emergency surgery were hernias (6; 27.2%). The median length of stay was 30 days, and only two patients required reoperation. Postoperatively, 10 (43.3%) patients needed mechanical ventilation for a mean of 6 days. The overall mortality rate was 31.8%. Conclusion Both postoperative morbidity and mortality are high in COVID-19 patients with respiratory compromise and abdominal emergencies. Supplementary Information The online version contains supplementary material available at 10.1007/s13304-021-01007-5.

The effects of COVID-19 pandemic on emergency anterior abdominal wall hernia surgery: is it safe to postpone elective hernia surgery in the pandemic?

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Provider attitudes and satisfaction with rapid preoperative point-of-care COVID-19 testing using ID NOW™

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Retroperitoneal duodenal perforation due to COVID-19: An extremely rare case report

“…Neuronal injury is the other possible mechanism of injury of coronaviruses because of neurotropism [9] . In the other hand, it is documented that performing any abdominal surgery in COVID-19 patients will raise the mortality rate significantly [10] . Our patient had not any other risk factors for peptic ulcer diseases such as H. pylori infection, NSAIDs use, and dietary factors [11] .…”