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.
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