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10.6061/clinics/2021/e2507

http://scihub22266oqcxt.onion/10.6061/clinics/2021/e2507
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suck abstract from ncbi


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pmid33787677      Clinics+(Sao+Paulo) 2021 ; 76 (ä): e2507
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  • Is it Safe to Perform Elective Colorectal Surgical Procedures during the COVID-19 Pandemic? A Single Institution Experience with 103 Patients #MMPMID33787677
  • Sobrado LF; Nahas CSR; Marques CFS; Cotti GCC; Imperiale AR; Averbach P; Meira Junior JD; Horvat N; Ribeiro-Junior U; Cecconello I; Nahas SC
  • Clinics (Sao Paulo) 2021[]; 76 (ä): e2507 PMID33787677show ga
  • OBJECTIVES: Since the outbreak of the novel coronavirus disease 2019 (COVID-19), all health services worldwide underwent profound changes, leading to the suspension of many elective surgeries. This study aimed to evaluate the safety of elective colorectal surgery during the pandemic. METHODS: This was a retrospective, cross-sectional, single-center study. Patients who underwent elective colorectal surgery during the COVID-19 pandemic between March 10 and September 9, 2020, were included. Patient data on sex, age, diagnosis, types of procedures, hospital stay, mortality, and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) preoperative screening tests were recorded. RESULTS: A total of 103 colorectal surgical procedures were planned, and 99 were performed. Four surgeries were postponed due to positive preoperative screening for SARS-CoV-2. Surgical procedures were performed for colorectal cancer (n=90) and inflammatory bowel disease (n=9). Laparoscopy was the approach of choice for 43 patients (43.4%), 53 (53.5%) procedures were open, and 3 (3%) procedures were robotic. Five patients developed COVID-19 in the postoperative period, and three of them died in the intensive care unit (n=3/5, 60% mortality). Two other patients died due to surgical complications unrelated to COVID-19 (n=2/94, 2.1% mortality) (p<0.01). Hospital stay was longer in patients with SARS-CoV-2 infection than in those without (38.4 versushttps://doi.org/10.3 days, respectively, p<0.01). Of the 99 patients who received surgical care during the pandemic, 94 were safely discharged (95%). CONCLUSION: Our study demonstrated that elective colorectal surgical procedures may be safely performed during the pandemic; however, preoperative testing should be performed to reduce in-hospital infection rates, since the mortality rate due to SARS-CoV-2 in this setting is particularly high.
  • |*COVID-19[MESH]
  • |*Colorectal Neoplasms[MESH]
  • |*Colorectal Surgery[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Elective Surgical Procedures/adverse effects[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Retrospective Studies[MESH]


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