Using new technicque in sigmoid volvulus surgery in patients affected by COVID19

Area of Science:

• Gastroenterology
• Infectious Diseases
• Surgical Oncology

Background:

• The coronavirus pandemic, originating in Wuhan, China, primarily affects the respiratory system but can manifest in the gastrointestinal (GI) system.
• Transmission is mainly respiratory, with emerging evidence suggesting potential fecal-oral or intestinal gas routes.
• Colorectal surgeries pose a risk of surgeon exposure to intestinal gas.

Observation:

• A 57-year-old male presented with acute abdominal pain, constipation, and distention.
• Initial workup revealed sigmoid volvulus and intestinal obstruction.
• The patient tested positive for COVID-19, with chest CT showing lung involvement.

Findings:

• The patient underwent surgery for sigmoid volvulus.
• The surgical team took precautions against potential COVID-19 transmission via intestinal gas.
• Sigmoid colon resection was performed without gas evacuation.

Implications:

• This case underscores the potential for coronavirus transmission through intestinal gas during surgical procedures.
• Enhanced safety protocols may be necessary for colorectal surgeons operating on COVID-19 positive patients.
• Further research is warranted to confirm and quantify the risk of COVID-19 transmission via intestinal gas.