How COVID-19 pandemic has changed elective surgery: the experience in a general surgery unit at a COVID-hospital
Covid-19 and Elective General Surgery
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
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.
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.
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
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
Perrone, G., Giuffrida, M., Bonati, E., Del Rio, P., Pattonieri, V., Tarasconi A., et al. Emergency Surgery in A Tertiary Hospital: The Covid-19 Experience. Bangladesh J. Med. Sci. 2020;19, S 66-S 68. https://doi.org/10.3329/bjms.v19i0.48168
Downloads
Published
Issue
Section
License
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.