Therapeutic approach for Amyand’s hernia; a case report

Berbece, Sorin; Ardeleanu, Valeriu; Constantin, Vlad Denis; Păunica, Ioana; Toma, Adrian Ioan

doi:10.22543/7674.71.p105109

Cited by 1 publication

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“…The practice has shown that most patients in the emergency department follow a clinical-laboratory protocol, which requires subsequent specialized examinations, surgical ones including, but only a small number represent a surgical emergency. The challenges for the surgeon are correctly identifying those patients requiring emergency intervention, especially in particular circumstances (19)(20)(21)(22)(23)(24) that include previous administration of analgesics, minor antispasmodics, antisecretory drugs. These are possible effective treatments which may fade clinical signs in patients who have previously undergone several on-call services with incomplete exploration and administered minor therapies.…”

Section: Discussionmentioning

confidence: 99%

Acute surgical abdomen during the COVID‑19 pandemic: Clinical and therapeutic challenges

et al. 2021

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The present study investigated the effects of the COVID-19 pandemic on the clinical presentation and therapeutic management of acute surgical abdomen. A retrospective study of emergency hospitalizations with a diagnosis of acute surgical abdomen between April and July 2020 vs. a similar period in 2019 was performed. The observation sheets and the operating protocols were analyzed. Between April and July 2020, 50 cases of acute surgical abdomen were hospitalized and treated, compared to 43 cases in the same period last year. The main types of pathology in both groups included: Occlusions (60%, respectively 44.2% in 2019) and peritonitis (32%, respectively 41.8% in 2019). There was an increased rate of patients with colorectal cancers neglected therapeutically or uninvestigated, who presented during the pandemic period with emergencies for complications such as occlusion or tumor perforation (32 vs. 6.97%, P=0.0039). One case, with gastric perforation, was COVID-positive, with no pulmonary symptoms at admission. The number of postoperative infectious complications was lower during the pandemic (2 vs. 13.95%, P=0.0461). As the COVID-19 pandemic appears to be still far from ending, we should learn to adapt our surgical protocols to the new evidence.Oncological patients are a vulnerable group, who were neglected in the first months of the pandemic. SARS-Cov-2 infection may be a cause of abdominal pain and should be taken into account in different diagnoses of acute abdomen in surgical wards. Correct wearing of adequate personal protective equipment (PPE) and respecting strict rules of asepsis and antisepsis are required for preventing in-hospital transmission of infection.

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Section: Discussionmentioning

confidence: 99%