How COVID-19 pandemic has changed elective surgery: the experience in a general surgery unit at a COVID-hospital

Main Article Content

Mario Giuffrida
Federico Cozzani
Matteo Rossini
Elena Bonati
Paolo Del Rio

Keywords

Covid-19; pandemic; general surgery; oncology; colon cancer, liver cancer, gastric cancer.

Abstract

Objective: Evaluate the impact of Covid-19 in a critical area and analyze the changes in the daily activities in a General Surgery Unit of a tertiary Covid-Hospital. Methods: We report and compared all the surgical procedures performed between two periods (March and April 2019 and March and April 2020) at General Surgery Department of Parma University Hospital, a tertiary Covid-Hospital.


Results: Between March and April 2019, a total of 232 surgical procedures were performed. Between March and April 2020 only 61 surgical procedures were performed. In 2019 84 patients underwent surgery for cancer and 171 underwent surgery for benign diseases. In 2020 only 37 patients underwent surgery for oncological reasons and 24 underwent surgery for benign diseases. Conclusions: During pandemic Covid-19 the access to health services was limited and poor. Limited access to health services and the fear of Covid-19 infection can explain the lower number of elective surgical procedures for cancer in 2020 compared to the same period in the 2019.

Downloads

Download data is not yet available.
Abstract 65 | PDF Downloads 15

References

1. Vigneswaran Y, Prachand VN, Posner MC, Matthews JB, Hussain M. What is the appropriate use of laparoscopy over open procedures in the current COVID-19 climate? J Gastrointest Surg. 2020 doi: 10.1007/s11605-020-04592-9.
2. De Simone B, Chouillard E, Di Saverio S, et al. Emergency surgery during the COVID-19 pandemic: what you need to know for practice. Ann R Col Surg Eng. 2020;102:323–332. doi: 10.1308/rcsann.2020.0097.
3. Patriti, A., Baiocchi, G.L., Catena, F. et al. Emergency general surgery in Italy during the COVID-19 outbreak: first survey from the real life. World J Emerg Surg. 2020; 15, 36. https://doi.org/10.1186/s13017-020-00314-3
4. Pertile D, Gallo G, Barra F, et al. The impact of COVID-19 pandemic on surgical residency programmes in Italy: a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC). Updates Surg. 2020;72(2):269-280. doi:10.1007/s13304-020-00811-9
5. Perrone, G., Giuffrida, M., Bonati, E., Rio, P., Pattonieri, V., Tarasconi A., et al. Emergency Surgery in A Tertiary Hospital: The Covid-19 Experience. Bangladesh Journal of Medical Science. 2020;19, S 66-S 68. https://doi.org/10.3329/bjms.v19i0.48168

Most read articles by the same author(s)

1 2 > >>