COVID-19 and Digestive Surgical Emergencies: Experience of the General Surgery Department of Tangier University Hospital.
PDF

Keywords

La covid19, Urgences chirurgicales digestives, Mesures de protections, Rapport de cas.

Categories

How to Cite

1.
Aggouri Y, Jbilou A, Tarif B, Mohamed Y, Motiaa Y, Alaoui S, Ait laalim S. COVID-19 and Digestive Surgical Emergencies: Experience of the General Surgery Department of Tangier University Hospital. Integr J Med Sci [Internet]. 2021 Dec. 19 [cited 2024 Nov. 21];8. Available from: https://mbmjpress.com/index.php/ijms/article/view/475

Abstract

On March 11, 2020, the WHO declared that the epidemic of COVID-19 had become a pandemic, and this disrupted all the regulated operative programs. On the other hand and by its urgent nature, the emergency surgery was maintained with particularity in some situations, an association with infection by COVID-19. The circumstances of diagnosis of the association of infection by COVID-19 and surgical emergency are based on clinical, radiological, and biological criteria. In this work we report the experience of the University Hospital of Tangier concerning the management of three patients with the particularity of associating a covid infection and a digestive surgical emergency, we will discuss through these cases, the necessary protective measures in intraoperative and the impact of the covid infection on the morbi-mortality Concerning the impact of covid infection on postoperative morbidity and mortality, there are generally two situations: When the covid infection is benign, the prognosis depends on the severity of the surgical emergency and in this situation the prognosis is the same as for patients not infected by covid, this is the case of the first and third cases. The second situation; when the covid infection is severe, it has a great impact on the prognosis and the postoperative care in intensive care. With this publication, we are trying to provide information to help surgeons better manage this category of patients, especially in view of the panic caused by the pandemic, and the difficulty of adapting to the new patient circuit, but more studies recruiting more cases are needed to confirm our findings.

https://doi.org/10.15342/ijms.2021.475
PDF

References

Bernardino R, Gil M, Andrade V, Severo L, Alves M, Papoila AL, et al. What has changed during the state of emergency due to COVID-19 on an Academic Urology Department of a Tertiary Hospital in Portugal. Actas Urol Esp (Engl Ed). 2020 Nov;44(9):604-610. https://doi.org/10.1016/j.acuro.2020.06.010

Barro K, Malone A, Mokede A, Chevance C. Management of the COVID-19 epidemic by public health establishments–Analysis by the Fédération Hospitalière de France. J Visc Surg. 2020 Jun;157(3S1):S19-S23. https://doi.org/10.1016/j.jviscsurg.2020.04.011

Galvez A, King K, El Chaar M, Claros L. Perforated Marginal Ulcer in a COVID-19 Patient. Laparoscopy in these Trying Times. Obes Surg. 2020 Nov; 30(11):4605-4608. https://doi.org/10.1007/s11695-020-04709-8

Safari S, Keyvani H, Malekpour Alamdari N, Dehghanian A, Razavi Hashemi M, Nemati Honar B, et al. Abdominal Surgery in Patients With COVID-19 Detection of SARS-CoV-2 in Abdominal and Adipose Tissues. Ann Surg. 2020 Jun; 272(3):e253-e256. https://doi.org/10.1097/sla.0000000000004165

Vudayagiri L, Gusz J. COVID-19 Positive in Nasopharyngeal Swab but Negative in Peritoneal Fluid: Case Report of Perforated Appendicitis. Cureus. 2020 Jul; 12(7):e9412. https://dx.doi.org/10.7759%2Fcureus.9412

Kangas-Dick A, Prien C, Rojas K, Pu Q, Hamshow M, Wan E, et al. Gastrointestinal perforation in a critically ill patient with COVID-19 pneumonia. SAGE Open Med Case Rep. 2020 Jul; 8: 1–4. https://doi.org/10.1177/2050313x20940570

Cai M, Wang G, Zhang L, Gao J, Xia Z, Zhang P, et al. Performing abdominal surgery during the COVID-19 epidemic in Wuhan, China: a single-centred, retrospective, observational study. Br J Surg. 2020 Jun; 107(7):e183-e185. https://doi.org/10.1002/bjs.11643

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2021 Younes Aggouri; Aymane Jbilou, Badr Tarif, Yassine Mohamed , Youssef Motiaa , Siham Alaoui , Said Ait laalim

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...