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Managing acute appendicitis during the COVID-19 pandemic in Jiaxing, China

Yuan Zhou1, Lu-Sha Cen2

  • 1Department of Gastrointestinal Surgery, The First Hospital of Jiaxing, Affiliated Hospital of Jiaxing University, Jiaxing 31400, Zhejiang Province, China.

World Journal of Clinical Cases
|October 21, 2020
PubMed

Insights

The COVID-19 pandemic impacted acute appendicitis care, increasing perforated cases and surgical blood loss. However, Jiaxing

Area of Science:

  • General Surgery
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic significantly disrupted routine surgical practices globally.
  • Acute appendicitis remains a common surgical emergency, necessitating evaluation of pandemic-related impacts.
  • Assessing the influence of the COVID-19 pandemic on acute appendicitis management is crucial.

Purpose of the Study:

  • To evaluate the effectiveness of acute appendicitis management strategies during the COVID-19 pandemic.
  • To compare appendicitis patient outcomes before and during the pandemic.
  • To analyze changes in surgical procedures and patient recovery during the pandemic.

Main Methods:

  • Retrospective analysis of 90 acute appendicitis patients in Jiaxing, China, during the COVID-19 outbreak.
  • Comparison of clinical data with appendectomy patients from the corresponding 2019 period.
  • Evaluation of preoperative, intraoperative protective, and postoperative management protocols.

Main Results:

  • Six febrile patients were referred to the COVID-19 expert group, all testing negative.
  • In 2020, perforated appendicitis cases increased, with longer symptom duration and elevated white blood cell/neutrophil counts compared to 2019.
  • Increased open appendectomies and blood loss were observed in 2020; 65.6% utilized online consultations post-discharge with no perioperative COVID-19 infections or long-term complications.

Conclusions:

  • Jiaxing's acute appendicitis management effectively mitigated pandemic influence and reduced nosocomial infection risks.
  • Despite challenges, established protocols ensured safe and effective care for appendicitis patients during the pandemic.
  • The study highlights successful adaptation of surgical care during a global health crisis.
Abstract

Keywords:
Acute appendicitisCOVID-19PandemicPerforated appendicitisPerioperative managementPostoperative management

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