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

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

Authors

  • Mario Giuffrida a:1:{s:5:"en_US";s:25:"Parma University Hospital";}
  • Federico Cozzani General Surgery Unit, Parma University Hospital
  • Matteo Rossini General Surgery Unit, Parma University Hospital
  • Elena Bonati General Surgery Unit, Parma University Hospital
  • Paolo Del Rio General Surgery Unit, Parma University Hospital

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.

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

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Published

05-11-2021

Issue

Section

ORIGINAL INVESTIGATIONS/COMMENTARIES - SPECIAL COVID19

How to Cite

1.
Giuffrida M, Cozzani F, Bonati E, Del Rio P. How COVID-19 pandemic has changed elective surgery: the experience in a general surgery unit at a COVID-hospital. Acta Biomed. 2021;92(5):e2021304. doi:10.23750/abm.v92i5.10296