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Surgical complications in COVID-19 patients in the setting of moderate to severe disease
Milena Gulinac1, Ivan P Novakov2, Svetozar Antovic3
1Department of General and Clinical Pathology, Medical University, University Hospital "St George," Plovdiv 6000, Bulgaria.
Insights
The COVID-19 pandemic created significant challenges for surgeons, impacting patient care and safety. This review examines surgical complications, mortality, and outcomes for patients during the pandemic.
Area of Science:
- Medicine
- Surgery
- Infectious Diseases
Background:
- The COVID-19 pandemic significantly disrupted surgical practice and patient care.
- Surgical staff faced unique challenges compared to non-surgical specialists.
- Maintaining patient safety and providing adequate surgical care were primary concerns.
Purpose of the Study:
- To review recent factors influencing surgical complications in COVID-19 patients.
- To analyze mortality rates and outcomes for surgical patients during the pandemic.
- To discuss the overall experience of managing surgical care amidst COVID-19.
Main Methods:
- Literature review of studies concerning COVID-19 and surgical patients.
- Analysis of factors affecting surgical outcomes and complications.
- Synthesis of data on morbidity, mortality, and patient management.
Main Results:
- COVID-19 poses increased risks, raising morbidity and mortality in surgical patients, both symptomatic and asymptomatic.
- Surgery delays due to the pandemic led to adverse effects and financial consequences.
- Preoperative measures and patient admission protocols were critical considerations.
Conclusions:
- The pandemic necessitated careful consideration of patient admission and preoperative measures for surgical candidates.
- Understanding the impact of COVID-19 on surgical outcomes is crucial for future pandemic preparedness.
- Effective strategies are needed to mitigate risks and ensure optimal surgical care during infectious disease outbreaks.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic has had a considerable impact on the work of physicians and surgeons. The connection between the patient and the surgeon cannot be replaced by telemedicine. For example, the surgical staff faces more serious difficulties compared to non-surgical specialists during the COVID-19 pandemic. The primary concerns include the safest solutions for protecting healthcare staff and patients and the ability to provide adequate surgical care. Additionally, the adverse effects of any surgery delays and the financial consequences complicate the picture. Therefore, patients' admission during the COVID-19 pandemic should be taken into consideration, as well as preoperative measures. The COVID-19 situation brings particular risk to patients during surgery, where preoperative morbidity and mortality rise in either asymptomatic or symptomatic COVID-19 patients. This review discusses the recent factors associated with surgical complications, mortality rates, outcomes, and experience in COVID-19 surgical patients.
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