Impact of COVID-19 on the outcomes of gastrointestinal surgery

Gupta, Rahul; Gupta, Jyoti; Ammar, Houssem

doi:10.1007/s12328-021-01424-4

Cited by 28 publications

(21 citation statements)

References 72 publications

(85 reference statements)

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“…The COVID-19 pandemic had a pronounced impact on abdominal surgery including tumor and transplant surgery [ 2 ]. Whether laparoscopic cholecystectomy for acute cholecystitis should be performed or not during the pandemic was heavily debated.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous elective surgeries have been postponed to create treatment capacity for COVID-19 patients. In several centers, elective gastrointestinal and bariatric operations, elective endoscopies and liver transplants have been cancelled [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…This meant extensive contact restrictions among the people in Germany. Like at numerous other medical centers we postponed all elective procedures, including elective cholecystectomies [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic cholecystectomy during the COVID-19 pandemic in a tertiary care hospital in Germany: higher rates of acute and gangrenous cholecystitis in elderly patients

et al. 2022

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Background The COVID-19 pandemic caused a global health crisis in 2020. This pandemic also had a negative impact on standard procedures in general surgery. Surgeons were challenged to find the best treatment plans for patients with acute cholecystitis. The aim of this study is to investigate the impact of the COVID-19 pandemic on the outcomes of laparoscopic cholecystectomies performed in a tertiary care hospital in Germany. Patients and methods We examined perioperative outcomes of patients who underwent laparoscopic cholecystectomy during the pandemic from March 22, 2020 (first national lockdown in Germany) to December 31, 2020. We then compared these to perioperative outcomes from the same time frame of the previous year. Results A total of 182 patients who underwent laparoscopic cholecystectomy during the above-mentioned periods were enrolled. The pandemic group consisted of 100 and the control group of 82 patients. Subgroup analysis of elderly patients (> 65 years old) revealed significantly higher rates of acute [5 (17.9%) vs. 20 (58.8%); p = 0.001] and gangrenous cholecystitis [0 (0.0%) vs. 7 (20.6%); p = 0.013] in the “pandemic subgroup”. Furthermore, significantly more early cholecystectomies were performed in this subgroup [5 (17.9%) vs. 20 (58.8%); p = 0.001]. There were no significant differences between the groups both in the overall and subgroup analysis regarding the operation time, intraoperative blood loss, length of hospitalization, morbidity and mortality. Conclusion Elderly patients showed particularly higher rates of acute and gangrenous cholecystitis during the pandemic. Laparoscopic cholecystectomy can be performed safely in the COVID-19 era without negative impact on perioperative results. Therefore, we would assume that laparoscopic cholecystectomy can be recommended for any patient with acute cholecystitis, including the elderly.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laparoscopic cholecystectomy during the COVID-19 pandemic in a tertiary care hospital in Germany: higher rates of acute and gangrenous cholecystitis in elderly patients

et al. 2022

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“…In fact, a recent global survey ( 11 ) showed that hip fracture service was disrupted during the pandemic, thereby impacting health and social care experienced by the patients. This dilemma was also noted in cardiovascular ( 12 ), gastrointestinal, and ( 13 ) oncology ( 14 ) surgeries.…”

Section: Introductionmentioning

confidence: 92%

The Impact of COVID-19 Surges in 2019–2021 on Patient-Reported Outcome Measures After Spine Surgery at an Academic Tertiary Referral Center in Taiwan: A Retrospective Observational Cohort Study

Lin

Wang

et al. 2022

Front. Surg.

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AimLimited data are available on the impact of the coronavirus disease 2019 (COVID-19) pandemic on patient-reported outcome measures (PROMs) in patients who underwent spine surgery. In this study, we aimed to investigate the associations between the COVID-19 outbreak in Taiwan (May 2021) and PROMs in patients who underwent spine surgery.MethodWe retrospectively identified patients who underwent spine surgery during identical defined 6-week time-intervals (May 16 to June 30) in 2019, 2020, and 2021. PROMs, including visual analog scale (VAS) score for pain, Oswestry disability index (ODI), and EuroQol-5D (EQ-5D), were investigated before surgical intervention and at a 1-month follow-up. Relevant clinical information was collected from the electronic medical records of patients. Linear regression analysis was used to examine the association between the pandemic in 2021 (vs. 2019/2020) and the PROMs after adjusting for age, sex, and relevant clinical variables.ResultsThe number of patients who underwent spine surgery at our hospital during the identical defined 6-week time-intervals in 2019, 2020, and 2021 was 77, 70, and 48, respectively. The surgical intervention significantly improved VAS, ODI, and EQ-5D of the patients (1 month after surgery vs. before surgery, all p < 0.001) in all three study periods. However, there was a significant between-group difference in change from baseline in VAS (p = 0.002) and EQ-5D (p = 0.010). The decrease in VAS and increase in EQ-5D after surgery in 2021 were not as much as those in 2019 and 2020. The associations between the pandemic in 2021 (vs. 2019/2020) and changes in VAS (β coefficient 1.239; 95% confidence interval [CI] 0.355 to 2.124; p = 0.006) and EQ-5D (β coefficient, −0.095; 95% CI, −0.155 to −0.035; p = 0.002) after spine surgery were independent of relevant clinical factors.ConclusionThere was less improvement in short-term PROMs (VAS and EQ-5D) after spine surgery during the COVID-19 pandemic. Assessment of PROMs in surgical patients during a pandemic may be clinically relevant, and psychological support in this condition might help improve patients' outcomes.

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“…A nivel quirúrgico, muchos estudios han evidenciado una reducción en el número de procedimientos urgentes realizados durante la pandemia (6)(7)(8)(9) , junto a este hecho también se ha observado en algunos estudios un aumento del tiempo de evolución hasta recibir tratamiento debido al retraso diagnóstico y un aumento de la morbimortalidad (9) .…”

Section: Discusión Y Conclusionesunclassified

Impacto de la pandemia en el manejo de la hernia inguinal en lactantes

Maldonado¹,

Mira-Marcellí²,

Díaz³

et al. 2022

Cir Pediatr

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C. de la Sen Maldonado y cols.CIRUGÍA PEDIÁTRICA ResumenIntroducción. La pandemia del SARS-CoV-2 supuso una reducción de las jornadas quirúrgicas. Analizamos el efecto en la morbilidad de la hernia inguinal.Material y método. Estudio retrospectivo de casos y controles. Incluimos menores de 18 meses intervenidos de hernia inguinal desde 01/01/2019 hasta 31/08/2020, divididos en dos grupos: intervenidos antes (grupo A) o después (grupo D) de la declaración del estado de alarma. Variables principales: episodios de incarceraciones y complicaciones postoperatorias. Variable secundaria: intervención urgente o programada. Variables poblacionales: sexo, edad gestacional (EG), patología previa, edad al diagnóstico (ED) y a la intervención (EI) (meses).Resultados. Incluimos 64 pacientes, 43 grupo A y 21 grupo D. En el grupo A la mediana de EG fue 37+3, el 90,5% fueron varones, la mediana ED fue 2,33 y EI 3,27. En el grupo B la mediana de EG fue 31+2, el 72,1% fueron varones, la mediana ED fue 3 y EI 3,63. No hubo diferencias estadísticamente significativas. Sí fueron significativas las diferencias en patología previa: 16,3% A y 38,1% D (p = 0,05). Sobre la variable principal, 25,6%, del A sufrieron incarceraciones frente a 33,3% del D (p = 0,51) y un 9,3% tuvieron morbilidad postoperatoria en A frente al 14,3% en D (p = 0,41). Respecto a la variable secundaria, un 88,4% se realizaron de forma programada en el grupo A y un 90,5% en el grupo D (p = 0,583).Conclusión. Pese a la reducción de jornadas quirúrgicas, no ha aumentado la morbilidad de la hernia inguinal en nuestro medio. Hemos observado un aumento de pacientes con patología previa, implicando la priorización de los pacientes más graves.

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Impact of COVID-19 on the outcomes of gastrointestinal surgery

Cited by 28 publications

References 72 publications

Laparoscopic cholecystectomy during the COVID-19 pandemic in a tertiary care hospital in Germany: higher rates of acute and gangrenous cholecystitis in elderly patients

Laparoscopic cholecystectomy during the COVID-19 pandemic in a tertiary care hospital in Germany: higher rates of acute and gangrenous cholecystitis in elderly patients

The Impact of COVID-19 Surges in 2019–2021 on Patient-Reported Outcome Measures After Spine Surgery at an Academic Tertiary Referral Center in Taiwan: A Retrospective Observational Cohort Study

Impacto de la pandemia en el manejo de la hernia inguinal en lactantes

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