International Journal of Surgery and Surgical Research

International Journal of Surgery and Surgical Research


International Journal of Surgery and Surgical Research
International Journal of Surgery and Surgical Research
2020, Vol. 2, Issue 1
A study on approach to acute surgical abdomen in covid 19 positive patients

Greeshma Suresh, Siddhartha Sankar Bhattacharjee, Arun BR

Background: Since the beginning of Covid19 pandemic, the management of patients infected with the COVID19 virus has impacted the emergency department, surgical & medical teams & Intensive Care Units in terms of management & safety of both the patients & the healthcare workers. With the operating rooms being reserved for emergency purposes in most of the medical facilities, a dilemma is prevalent in terms of triaging patients in terms of choice of conservative & surgical management, as well as the possible outcomes. Aims: Our study aims at estabilishing a literature to provide key suggestions for the management of acute surgical abdomen in Covid19 infected patients, keeping in mind the safety of both, the patient & the healthcare workers. Methods: This is a retrospective observational study, including 23 patients with the diagnosis of acute surgical abdomen with Covid19 infected status, in a span of 60 days at Silchar Medical College & Hospital Results: Out of the 23 different cases studied, 5 cases of acute cholecystitis, 3 cases of acute gallstone pancreatitis, 1 case of acute choledocholithiasis & 2 cases of acute appendicitis were conservatively managed. 4 cases of hollow viscus perforation & 2 cases of acute intestinal obstruction were managed surgically. 5 cases of hollow viscus peforation & 1 case of appendicular abscess were managed by percutaneous drainage of peritoneal fluids. Conclusion: Deferring the surgery in acute surgical abdomen, wherever feasible is the key to patient & healthcare worker safety in times of ongoing pandemic of Covid19.
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How to cite this article:
Greeshma Suresh, Siddhartha Sankar Bhattacharjee, Arun BR. A study on approach to acute surgical abdomen in covid 19 positive patients. International Journal of Surgery and Surgical Research, Volume 2, Issue 1, 2020, Pages 11-14
International Journal of Surgery and Surgical Research