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10.14744/tjtes.2020.80083 http://scihub22266oqcxt.onion/10.14744/tjtes.2020.80083 33394479!ä!33394479 Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33394479&cmd=llinks): Failed to open stream: HTTP request failed! 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COVID-19 pandemisi suresince acil servise basvuran akut kolesistit hastalarina genel yaklasimimiz ve perkutan kolesistostomi deneyimi |pdf=|usr=}}{{33394479}} gab.com Text COVID-19 pandemisi suresince acil servise basvuran akut kolesistit hastalarina genel yaklasimimiz ve perkutan kolesistostomi deneyimi JO: Ulus Travma Acil Cerrahi Derg http://www.kidney.de/pget.php?&tw=1&pmid=33394479 #FOAvip BACKGROUND: Acute cholecystitis (AC), a common complication of gallstones, is responsible for a significant part of emergency applications, and cholecystectomy is the only definitive treatment method for AC. Early cholecystectomy has many reported advantages. Operation-related morbidity and mortality have increased during the COVID-19 pandemic. In this study, our aim is to present our general clinical approach to patients who were diagnosed with AC during the pandemic and our percutaneous cholecystostomy experience during this period. METHODS: This study included 72 patients who were presented to our hospital's emergency room between March 11 and May 31, 2020, with AC. Patients were divided into three groups based on their treatment: outpatients (Group 1), inpatients (Group 2) and patients undergoing percutaneous cholecystostomy (Group 3). These three groups were compared by their demographic and clinical characteristics. RESULTS: There were 36 (50%) patients in Group 1, 25 (34.7%) patients in Group 2, and 11 (15.3%) patients in Group 3. The demographic characteristics of the patients were similar. The CRP and WBC levels of the patients in Group 3 were significantly higher compared to the other groups. Moreover, the wall of the gallbladder was thicker and the size of the gallbladder was larger in Group 3. Patients had percutaneous cholecystostomy at the median of 3.5 days and the length of hospital stay was longer compared to Group 2 (3.9 days versus 9.2 days, p=0.00). The rate of re-hospitalization after discharge was similar in Group 2 and Group 3, but none of the patients in Group 1 required hospitalization. None of 72 patients developed an emergency condition requiring surgery, and there was no death. CONCLUSION: Although many publications emphasize that laparoscopic cholecystectomy (LC) can be performed with low morbidity at the first admission in acute cholecystitis, it is a clinical condition that can be delayed in the COVID-19 pandemic and other similar emergencies. Thus, percutaneous cholecystostomy should be effectively employed, and its indications should be extended if necessary (e.g., younger patients, patients with lower CCI or ASA). This approach may enable us to protect both patients and healthcare professionals that perform the operation from the risk of COVID-19. Twit Text FOAVip COVID-19 pandemisi suresince acil servise basvuran akut kolesistit hastalarina genel yaklasimimiz ve perkutan kolesistostomi deneyimi ????Ulus Travma Acil Cerrahi Derg http://www.kidney.de/pget.php?&tw=1&pmid=33394479 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33394479 #FOAvip English Wikipedia <ref>{{Cite pmid|33394479}}</ref> COVID-19 pandemisi suresince acil servise basvuran akut kolesistit hastalarina genel yaklasimimiz ve perkutan kolesistostomi deneyimi #MMPMID33394479 Ciyiltepe H; Yildirim G; Fersahoglu MM; Aydin MT; Ozcabi Y; Bulut NE; Tasdelen I; Fersahoglu AT; Yananli ZD; Aydin I; Agca B; Karakas HM; Akyuz U; Memisoglu K Ulus Travma Acil Cerrahi Derg 2021[Jan]; 27 (1): 34-42 PMID33394479show ga BACKGROUND: Acute cholecystitis (AC), a common complication of gallstones, is responsible for a significant part of emergency applications, and cholecystectomy is the only definitive treatment method for AC. Early cholecystectomy has many reported advantages. Operation-related morbidity and mortality have increased during the COVID-19 pandemic. In this study, our aim is to present our general clinical approach to patients who were diagnosed with AC during the pandemic and our percutaneous cholecystostomy experience during this period. METHODS: This study included 72 patients who were presented to our hospital's emergency room between March 11 and May 31, 2020, with AC. Patients were divided into three groups based on their treatment: outpatients (Group 1), inpatients (Group 2) and patients undergoing percutaneous cholecystostomy (Group 3). These three groups were compared by their demographic and clinical characteristics. RESULTS: There were 36 (50%) patients in Group 1, 25 (34.7%) patients in Group 2, and 11 (15.3%) patients in Group 3. The demographic characteristics of the patients were similar. The CRP and WBC levels of the patients in Group 3 were significantly higher compared to the other groups. Moreover, the wall of the gallbladder was thicker and the size of the gallbladder was larger in Group 3. Patients had percutaneous cholecystostomy at the median of 3.5 days and the length of hospital stay was longer compared to Group 2 (3.9 days versus 9.2 days, p=0.00). The rate of re-hospitalization after discharge was similar in Group 2 and Group 3, but none of the patients in Group 1 required hospitalization. None of 72 patients developed an emergency condition requiring surgery, and there was no death. CONCLUSION: Although many publications emphasize that laparoscopic cholecystectomy (LC) can be performed with low morbidity at the first admission in acute cholecystitis, it is a clinical condition that can be delayed in the COVID-19 pandemic and other similar emergencies. Thus, percutaneous cholecystostomy should be effectively employed, and its indications should be extended if necessary (e.g., younger patients, patients with lower CCI or ASA). This approach may enable us to protect both patients and healthcare professionals that perform the operation from the risk of COVID-19. |*COVID-19[MESH] |*Cholecystectomy/methods/statistics & numerical data[MESH] |*Cholecystitis, Acute/epidemiology/surgery[MESH] |Ambulatory Surgical Procedures/*statistics & numerical data[MESH] |Emergency Service, Hospital[MESH] |Hospitalization/*statistics & numerical data[MESH] |Humans[MESH] |Pandemics[MESH]COVID-19 pandemisi suresince acil servise basvuran akut kolesistit has(epmc).pdf DeepDyve Pubget Overpricing