Association of major postoperative wound and anastomotic complications in thoracic surgery with COVID-19 infection

Kiełbowski, Kajetan; Wojtyś, Małgorzata; Kostopanagiotou, Konstantinos; Janowski, H; Wójcik, Janusz

doi:10.1016/j.sopen.2022.10.008

Cited by 3 publications

(1 citation statement)

References 37 publications

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“…In cardiothoracic surgery several case series and a case–control study highlighted clinical cases of COVID-positive patients with anastomotic complications, wound disturbances and sternal dehiscence in patients after open cardiac surgery [ 24 – 26 ]. The described cases share all a component of unusualness: the complications developed sudden and without any accompanying signs, were more severe than usual, and often followed an uncommon course in time.…”

Section: Discussionmentioning

confidence: 99%

COVID-associated complications after reconstructive breast surgery: a retrospective cohort study

Bubberman,

Claessen,

Feijen

et al. 2023

Breast Cancer Res Treat

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Purpose The COVID pandemic significantly influenced reconstructive breast surgery regimens. Many surgeries were cancelled or postponed. COVID entails not only respiratory, but also coagulative symptoms. It, therefore, potentially increases the risk of postoperative complications. The incidence of perioperative COVID infection and its influence on postoperative recovery after reconstructive breast surgery is still unknown. Methods This dual center retrospective cohort study included patients that underwent reconstructive breast surgery between March 2020 and July 2021. Post-mastectomy autologous or implant-based breast reconstruction (ABR; IBR), as well as post-lumpectomy oncoplastic partial breast reconstruction (PBR) were eligible. Patient data were extracted from electronic medical records. Data regarding COVID-19 infection was collected through a questionnaire. The primary outcome was complication rate. Results The ABR, IBR and PBR groups consisted of 113 (12 COVID-positive), 41 (2 COVID-positive) and 113 (10 COVID-positive) patients. In the ABR and PBR groups, postoperative complications occurred significantly more often in patients with perioperative COVID-infection. Especially impaired wound healing occurred significantly more often in the ABR and PBR breasts, but also at the donor site of ABR patients with perioperative COVID. Conclusion Perioperative COVID-infection increases susceptibility to complicated wound healing after reconstructive breast surgery. A possible explanation lies in the dysregulation of haemostasis by the virus, and its direct effects on microvasculature. A hypercoagulable state results. We recommend to postpone elective breast surgery for 4–6 weeks after COVID-19 infection. Also, precautionary measures remain important to minimize the risk of perioperative COVID-19 infection.

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Section: Discussionmentioning

confidence: 99%

COVID-associated complications after reconstructive breast surgery: a retrospective cohort study

Bubberman,

Claessen,

Feijen

et al. 2023

Breast Cancer Res Treat

View full text Add to dashboard Cite

show abstract

COVID-associated complications after reconstructive breast surgery – a retrospective cohort study

Bubberman,

Claessen,

Feijen

et al. 2023

Preprint

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Purpose. The COVID pandemic significantly influenced reconstructive breast surgery regimens. Many surgeries were cancelled or postponed. COVID entails not only respiratory, but also coagulative symptoms. It therefore potentially increases the risk of postoperative complications. The incidence of perioperative COVID infection and its influence on postoperative recovery after reconstructive breast surgery is still unknown.Methods. This dual center retrospective cohort study included patients that underwent reconstructive breast surgery between March 2020 and July 2021. Post-mastectomy autologous or implant-based breast reconstruction (ABR; IBR), as well as post-lumpectomy oncoplastic partial breast reconstruction (PBR) were eligible. Patient data was extracted from electronic medical records. Data regarding COVID-19 infection was collected through a questionnaire. The primary outcome was complication rate.Results. The ABR, IBR and PBR groups consisted of 113 (12 COVID-positive), 41 (2 COVID-positive) and 113 (10 COVID-positive) patients. In the ABR and PBR groups, postoperative complications occurred significantly more often in patients with perioperative COVID-infection. Especially impaired wound healing occurred significantly more often in the ABR and PBR breasts, but also at the donor site of ABR patients with perioperative COVID.Conclusion. Perioperative COVID-infection increases susceptibility to complicated wound healing after reconstructive breast surgery. A possible explanation lies in the dysregulation of haemostasis by the virus, and its direct effects on microvasculature. A hypercoagulable state results. We recommend to postpone elective breast surgery for 4–6 weeks after COVID-19 infection. Also, precautionary measures remain important to minimize the risk of perioperative COVID-19 infection.

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Ipsilateral dual cannulation is associated with wound complications following veno-arterial ECMO decannulation

SAFAYA,

YANG,

GIGLIA

et al. 2024

J Cardiovasc Surg

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Association of major postoperative wound and anastomotic complications in thoracic surgery with COVID-19 infection

Cited by 3 publications

References 37 publications

COVID-associated complications after reconstructive breast surgery: a retrospective cohort study

COVID-associated complications after reconstructive breast surgery: a retrospective cohort study

COVID-associated complications after reconstructive breast surgery – a retrospective cohort study

Ipsilateral dual cannulation is associated with wound complications following veno-arterial ECMO decannulation

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