COVID-19 not detected in peritoneal fluid: a case of laparoscopic appendicectomy for acute appendicitis in a COVID-19-infected patient.
Langenbecks Arch Surg
; 405(3): 353-355, 2020 May.
Article
in English
| MEDLINE | ID: covidwho-209487
ABSTRACT
PURPOSE:
COVID-19 greatly affected millions and affected the way we practice with heightened posture in the way we treat surgical patients. Surgical consensus guidelines are recommending caution in the use of laparoscopy for the theoretical possibility of viral transmission from aerosolization of tissue and peritoneal fluid during surgery. However, there has yet to be proof of COVID-19 being present in peritoneal fluid, justifying the consensus statements. We aim to assess the presence of COVID-19 in peritoneal fluid.METHODS:
We performed a laparoscopic appendicectomy for a COVID-19-infected patient with acute appendicitis. Peritoneal fluid and peritoneal washings were collected and sent for COVID-19 PCR.RESULTS:
The peritoneal fluid sample collected on entry and at the end of the operation was negative for COVID-19 on PCR. The patient had an uneventful recovery from surgery.CONCLUSIONS:
This case revealed that COVID-19 was not detected in peritoneal fluid and peritoneal washings in a patient infected with COVID-19. This study provides novel preliminary data in the investigation of COVID-19 transmission from laparoscopy-related aerosolization.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Appendectomy
/
Appendicitis
/
Pneumonia, Viral
/
Ascitic Fluid
/
Infectious Disease Transmission, Patient-to-Professional
/
Coronavirus Infections
Type of study:
Case report
/
Cohort study
/
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
/
Male
/
Young adult
Language:
English
Journal:
Langenbecks Arch Surg
Year:
2020
Document Type:
Article
Affiliation country:
S00423-020-01891-2
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