What surgeons should know about emergency operation for COVID-19 confirmed patients: A case report

Oh, Dongkyu; Kang, Yu Min; Choi, Jin Yong; Lee, Wang Jun

doi:10.1016/j.ijscr.2020.10.137

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…In March 2020, 4.8% of patients with appendicitis had simultaneous COVID-19 infection and showed a higher rate of CA. Besides a number of case reports describing patients with AA and COVID-19, detailed data is still missing [25][26][27]. A recently published systematic review of guidelines and recommendations for surgery during the COVID-19 pandemic advised to treat appendicitis conservatively if possible.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on appendicitis treatment in Germany—a population-based analysis

Köhler

Acar

Berg

et al. 2021

Langenbecks Arch Surg

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on appendicitis treatment in Germany—a population-based analysis

Köhler

Acar

Berg

et al. 2021

Langenbecks Arch Surg

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“…An early response to the COVID-19 outbreak by the neurosurgical community has followed, creating a mounting evidence of scientific documents aiming to update neurosurgical practice concerned with this entirely new condition 13 . The main concern was to ensure the principles of safety of the surgical teams caring for COVID-19 patients, which appeared to be crucial to prevent the spread of infection among patients and within hospitals 3 . Consequently, elective surgeries were markedly reduced globally, mainly allowing surgeons to perform urgent elective and emergency procedures only 14 .…”

Section: Discussionmentioning

confidence: 99%

“…The capacity for emergency neurosurgery of the Department of Neurosurgery of Sestre milosrdnice University Hospital Center in Zagreb, Croatia, was reinforced. Accordingly, separate COVID-19-free pathways for emergency and elective neurosurgical patients were ensured, while regular operative program has been attuned to the existing epidemiological condition, not affecting standard neurosurgical care at all, but assuring an adequate degree of protection for both the patients and medical workforce [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

Implementation of Specific Neurosurgical Protocol for Urgent Elective and Emergency Patients during the COVID-19 Pandemic in Croatia

Splavski

Rotim

Jurilj

et al. 2021

J. appl. health sci. (Online)

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Introduction: The COVID-19 pandemic was declared on January 30, 2020. The disease has rapidly disseminated throughout Europe, reaching Croatia from late February onward, representing a great burden to the national health care system. Our institution’s capacity for emergency neurosurgery was adjusted to assure adequate degree of protection for both the patients and medical workforce. Separate COVID-19-free pathways were ensured, while regular operative program has been attuned to the existing epidemiological condition. Aim: To explain the implementation of neurosurgical protocol for urgent elective and emergency traumatic brain injury patients during the COVID-19 pandemic based on our institutional experience. Methods: The time of pandemic was divided into 3 separate two-month periods. Patients, who suffered a traumatic brain injury and were not tested for corona virus, were considered COVID positive and were included in the analysis investigating the type and severity of injury, period of hospital admission and surgery, methods of surgery, and outcome. Results: A series consisted of 16 patients who were tested for COVID-19 at hospital admission, and under-went urgent/emergency surgery before the test results became known. Surgery was performed according to the specifically designed operative COVID-19 protocol. Skull fracture and traumatic intracranial hemorrhage were mainly observed. Moderate injury was recorded less frequently, particularly during the lock down, and post lock down summer. The majority of patients recuperated well, having good recovery. Conclusion: A specific operative protocol, employment of protective measures, and a separate operating theatre are mandatory for a safe and successful management of traumatic brain injury to evade transmission of the infection.

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“…Other additional measures enforced for surgeons' safety during the pandemic can also be considered in future circumstances where aerosol-driven pathogens are suspected. Examples include the presence of a negative-pressure operating room, enhanced personal protective equipment, and avoiding the use of electrocautery and other aerosol-generating instruments[ 136 ].…”

Section: Aa and The Covid-19 Pandemicmentioning

confidence: 99%

Acute appendicitis–advances and controversies

Teng¹,

Thong²,

Lau³

et al. 2021

WJGS

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Being one of the most common causes of the acute abdomen, acute appendicitis (AA) forms the bread and butter of any general surgeon’s practice. With the recent advancements in AA’s management, much controversy in diagnostic algorithms, possible differential diagnoses, and weighing the management options has been generated, with no absolute consensus in the literature. Since Alvarado described his eponymous clinical scoring system in 1986 to stratify AA risk, there has been a burgeoning of additional scores for guiding downstream management and mortality assessment. Furthermore, advancing literature on the role of antibiotics, variations in appendicectomy, and its adjuncts have expanded the surgeon’s repertoire of management options. Owing to the varied presentation, diagnostic tools, and management of AA have also been proposed in special groups such as pregnant patients, the elderly, and the immunocompromised. This article seeks to raise the critical debates about what is currently known about the above aspects of AA and explore the latest controversies in the field. Considering the ever-evolving coronavirus disease 2019 situation worldwide, we also discuss the pandemic’s repercussions on patients and how surgeons’ practices have evolved in the context of AA.

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What surgeons should know about emergency operation for COVID-19 confirmed patients: A case report

Cited by 5 publications

References 12 publications

Impact of the COVID-19 pandemic on appendicitis treatment in Germany—a population-based analysis

Impact of the COVID-19 pandemic on appendicitis treatment in Germany—a population-based analysis

Implementation of Specific Neurosurgical Protocol for Urgent Elective and Emergency Patients during the COVID-19 Pandemic in Croatia

Acute appendicitis–advances and controversies

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