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Surgical initial experience in patients with COVID-19
Carlos O Aguilar-Garduño1, José C Aguilar-Garduño2, Ana K Barreto-Rodríguez1
1Servicio de Gastrocirugía, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social (IMSS).
Cirugia Y Cirujanos
|March 30, 2021
Summary
Surgical management of COVID-19 patients requires hospital reorganization to protect staff and ensure optimal care. This study found high mortality rates, emphasizing the need for adapted protocols for patients with SARS-CoV-2 needing surgery.
Area of Science:
- Medicine
- Surgery
- Infectious Diseases
Background:
- The COVID-19 pandemic necessitated global reorganization of surgical services to manage patients requiring operative treatment.
- Healthcare systems worldwide had to adapt to provide safe surgical care for patients with SARS-CoV-2 infection while protecting healthcare personnel.
Purpose of the Study:
- To report the initial experience and outcomes of surgical patient management during the COVID-19 pandemic at a tertiary care hospital.
- To evaluate the effectiveness of implemented surgical protocols and personal protective equipment (PPE) for healthcare workers.
Main Methods:
- A review of surgical protocols, PPE usage, and treatment outcomes for 42 patients undergoing surgery between April and July 2020.
- Analysis included patients with confirmed or suspected SARS-CoV-2 infection.
Main Results:
- Forty-two patients with COVID-19 underwent surgery; 30 had confirmed SARS-CoV-2, and 12 had clinical/radiological suspicion.
- Most frequent procedures were tracheostomy (16 patients, 38%) and exploratory laparotomy (8 patients, 19%).
- The median postoperative hospital stay was 17 days, with a 30-day postoperative mortality rate of 26%.
Conclusions:
- Reorganization of surgical departments and hospital-wide strategies are crucial for adequate patient care and staff protection during the COVID-19 pandemic.
- Patients with COVID-19 undergoing surgery face elevated mortality risks due to comorbidities and pulmonary complications, necessitating specialized management.
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