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COVID-19 Outbreak and Surgical Practice: Unexpected Fatality in Perioperative Period

Ali Aminian1, Saeed Safari2, Abdolali Razeghian-Jahromi3

  • 1Department of General Surgery, Cleveland Clinic, Euclid Avenue, Desk M61, Cleveland, OH.

Annals of Surgery
|March 30, 2020
PubMed

Insights

The early coronavirus disease 2019 (COVID-19) crisis presented surgical challenges. Perioperative complications arose in four patients undergoing various surgeries, highlighting risks during the pandemic's initial phase.

Area of Science:

  • Surgery
  • Infectious Diseases
  • Public Health

Background:

  • Limited understanding of surgical practice during the initial COVID-19 pandemic.
  • The emergence of COVID-19 created unprecedented challenges for healthcare systems globally.
  • February 2020 marked the beginning of the COVID-19 outbreak in Tehran, Iran, impacting surgical services.

Purpose of the Study:

  • To describe surgical practice and perioperative complications during the early phase of the COVID-19 crisis.
  • To analyze the impact of COVID-19 on surgical patient outcomes in a resource-limited setting.
  • To evaluate the risks associated with elective surgery during a pandemic.

Main Methods:

  • Retrospective case series design.
  • Inclusion of four patients who underwent cholecystectomy, hernia repair, gastric bypass, and hysterectomy.
  • Analysis of perioperative complications in the initial weeks of the COVID-19 outbreak.

Main Results:

  • Four surgical patients experienced perioperative complications.
  • COVID-19 posed diagnostic challenges and a high fatality risk in the perioperative period.
  • The study period was February 2020 in Tehran, Iran.

Conclusions:

  • COVID-19 significantly complicates the perioperative course for surgical patients.
  • In areas with widespread infection and limited resources, the risks of elective surgery may exceed benefits.
  • Urgent reassessment of surgical procedures is necessary during pandemics.

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