Acute appendicitis: Covid-19 pandemic did not change presentation and treatment.
Ann Ital Chir
; 92: 369-373, 2022.
Article
in English
| MEDLINE | ID: covidwho-2012156
ABSTRACT
AIM:
This single-tertiary non-Covid center retrospective study analyses the impact on Covid-19 pandemic on the presentation and the treatment in patients operated for acute appendicitis.METHODS:
Total number of 152 patients operated for acute appendicitis in two separate periods (April - August 2019, and April - August 2020), were subjected to retrospective analysis. Patients were divided in two groups pre-pandemic Group A and pandemic Group B.RESULTS:
Eighty one patient was operated in the pandemic period and the rest 71 one year ago in the same period. Preoperative C-reactive protein levels presented statistically higher in the pandemic group (p = 0.0455). Time from admission to surgery was shorter in the pandemic group (7.5 ± 4.6 vs 5.8 ± 4.9; p = 0.0155). Overall operative time and the laparoscopic operative time were statistically longer in the pandemic group (68.8 vs. 76.8 minutes; p = 0.039 and 60.04 vs 74.0 minutes; p = 0.0141, respectively). Complicated appendicitis rates were similar, although periappendicular abscess was more common in the pandemic group, but without statistical significance. Length of stay was shorter in the pandemic group (p = 0.53).CONCLUSION:
Our data showed that during the Covid-pandemic, acute appendicitis surgery is safe and feasible with results equal to the prepandemic period. KEY WORDS Appendicitis, Appendectomy, Covid.
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Collection:
International databases
Database:
MEDLINE
Main subject:
Appendicitis
/
Laparoscopy
/
COVID-19
Type of study:
Diagnostic study
/
Experimental Studies
/
Observational study
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Humans
Language:
English
Journal:
Ann Ital Chir
Year:
2022
Document Type:
Article
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