SARS-Cov-2 Was Not Found in the Peritoneal Fluid of an Asymptomatic Patient Undergoing Laparoscopic Appendectomy

Romero-Vélez, Gustavo; Pereira, Xavier; Zenilman, Ariela; Camacho, Diego

doi:10.1097/sle.0000000000000837

Cited by 19 publications

(26 citation statements)

References 10 publications

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“…Seeliger B et al, (26) and Safari S. et al, (27) did not identify intraperitoneal viral RNA in patients who underwent surgical procedures in 5 and 4 cases, respectively. Similar observations were made in small groups of patients treated with acute peritoneal dialyses (28,29,30) and in several case studies (31,32,33). We encountered 3 case reports indicating the presence of SARS-CoV-2 virus in ascites due to decompensated cirrhosis (34,35) and bowel obstruction (36).…”

Section: Discussionsupporting

confidence: 80%

Absence of SARS-CoV-2 RNA in Peritoneal Fluid During Surgery in Pregnant Women Who Are COVID-19 Positive

Jakimiuk¹,

Januszewski²,

Santor-Zaczynska³

et al. 2021

Journal of Minimally Invasive Gynecology

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Study Objective: COVID-19 infection poses significant risks during surgical interventions. We investigated the intraperitoneal presence of SARS-CoV-2 in COVID-19 positive patients. Design: A prospective group study. Setting: Department of Obstetrics and Gynecology designated for COVID-19 patients, Central Clinical Hospital of the Ministry of Interior, Warsaw Patients: Overall, 65 pregnant women with COVID-19 infection underwent caesarian section. The diagnosis was confirmed either by positive antigen test or by positive RT-PCR assay performed within no more than 13 days prior to the operation. Interventions: On the day of the operation, a nasopharyngeal swab was taken, and peritoneal fluid was collected at the beginning of the operation. Both the nasopharyngeal swab and peritoneal fluid samples were tested for SARS-CoV-2. Measurements and Main Results: A total of 65 pregnant women with COVID-19 infection were enrolled in the study. The SARS-CoV-2 RNA test by nasopharyngeal swab produced positive results in 34 patients. In this group as well as in 31 non-confirmed patients all peritoneal fluid samples tested negative for SARS-CoV-2 RNA. Conclusion: These results suggest a low risk of COVID-19 transmission from the peritoneal cavity at the time of laparoscopy or laparotomy

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Section: Discussionsupporting

confidence: 80%

Absence of SARS-CoV-2 RNA in Peritoneal Fluid During Surgery in Pregnant Women Who Are COVID-19 Positive

Jakimiuk¹,

Januszewski²,

Santor-Zaczynska³

et al. 2021

Journal of Minimally Invasive Gynecology

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“…CCI: Charlson Comorbidity Index. 1st Wave: February Although aerosolization of blood borne viruses was already shown to occurr during laparoscopy, several reports did not demonstrate the presence of SARS-CoV-2 RNA in the peritoneal uid of COVID-19 patients(1,(17)(18)(19)(20)(21).…”

mentioning

confidence: 99%

Swab test in biological fluids as predictor of COVID-19 transmission risk during surgery: A prospective cross-sectional study from an Italian COVID center

Fabbri

Pesce

Ussia

et al. 2021

Preprint

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Background. The contamination of body fluids by Severe Acute Respiratory Syndrome Coronavirus 2 during surgery is current matter of debate in the scientific literature concerning CoronaVIrus Disease 2019. Surgical guidelines were published during the first wave of the COVID-19 pandemic and recommended to avoid laparoscopic surgery as much as possible, in fear that the chimney effect of high flow intraperitoneal gas escape during, and after, the procedure would increase the risk of viral transmission.Aim. The aim of this study was to evaluate the possibility of SARS-CoV-2 transmission during surgery by searching for viral RNA in serial samplings of biological liquids.Methods. This is a single center prospective cross-sectional study. We used a real-time reverse transcriptase (RT) polymerase chain reaction (PCR) test to perform swab tests for the qualitative detection of nucleic acid from SARS-CoV-2 in abdominal fluids, during emergency surgery and on the first post-operative day. In the case of thoracic surgery, we performed a swab test of pleural fluids during chest drainage placement as well as on the first post-operative day. Results. A total of 20 samples were obtained: 5 from pleural fluids, 13 from peritoneal fluids and two from biliary fluid. All 20 swabs performed from biological fluids resulted negative for SARS-CoV-2 RNA detection.Conclusion. To date, there is no scientific evidence of possible contagion by laparoscopic aerosolization of SARS-CoV-2, neither is certain whether the virus is effectively present in biological fluids.

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“…In none of our patients, we found a viral load in the abdominal fluid nor drainage. Neither Romero-Velez et al found Sars-CoV-2 on multiple samples of the peritoneum of an asymptomatic patient undergoing laparoscopic appendectomy 21 .…”

Section: Discussionmentioning

confidence: 85%

Acute Diverticulitis in Covid-19 Patients: Parallel Management in Three Cases. Are the Guidelines Adapting?

Guerci¹,

Goi²,

Maffioli³

et al. 2021

Relatos Casos Cir.

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Introdução: Uma preocupação na era COVID-19 é tratar os casos cirúrgicos. A literatura prevê que com um teste positivo a cirurgia seja postergada. O processo de tomada de decisão é mais desafiador em emergência. O presente relato pretende apresentar o manejo de diverticulite em pacientes com COVID. Relato do caso: Três casos de diverticulite perfurada em pacientes com COVID ocorreram em nossa instituição. Dois casos, sendo um deles sintomático para COVID, foram submetidos a procedimento de Hartmann. No terceiro caso, foi realizada drenagem percutânea, devido à idade e às comorbidades. Não ocorreram complicações. Um swab perianal e de fluido de drenagem foram coletados. A análise foi negativa para Sars-CoV-2. O processo de tomada de decisão em casos de cirurgia de emergência durante uma infecção por Sars-CoV-2 é desafiador. É demonstrado que com um teste positivo, a cirurgia seja postergada, mas precisamos de evidências sobre o manejo de pacientes cirúrgicos COVID-19 durante as emergências. Tentamos soluções conservadoras e evitamos a exposição excessiva do pessoal. Quando as condições pulmonares e gerais permitiam uma abordagem cirúrgica, nós a realizávamos. Não encontramos qualquer presença viral no teste de estoma, nem anal. Por outro lado, alguns autores relataram a presença do vírus em fezes e testes de swab anal. Esses achados contraditórios ainda precisam ser confirmados. Conclusão: O gerenciamento de emergências cirúrgicas em pacientes com COVID-19 é desafiador. O presente trabalho visa contribuir para o manejo dessas emergências cirúrgicas, bem como alertar os cirurgiões colorretais sobre possíveis desafios.

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SARS-Cov-2 Was Not Found in the Peritoneal Fluid of an Asymptomatic Patient Undergoing Laparoscopic Appendectomy

Cited by 19 publications

References 10 publications

Absence of SARS-CoV-2 RNA in Peritoneal Fluid During Surgery in Pregnant Women Who Are COVID-19 Positive

Absence of SARS-CoV-2 RNA in Peritoneal Fluid During Surgery in Pregnant Women Who Are COVID-19 Positive

Swab test in biological fluids as predictor of COVID-19 transmission risk during surgery: A prospective cross-sectional study from an Italian COVID center

Acute Diverticulitis in Covid-19 Patients: Parallel Management in Three Cases. Are the Guidelines Adapting?

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