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Corresponding Author

Khalaf, Adel

Document Type

Original Article

Abstract

Background: Since the occurrence of COVID-19 pandemic, global significant stress on healthcare programs to identify severity and mortality rate. The present article concentrates on emergency acute general surgical duties possessed to implement the spread of COVID-19. Materials and Methods: In COVID-19 epidemic period from March 2018 to July 2021 files of all patients who underwent emergency surgery in the departments of General Surgery, Al-Azhar University Hospital-Assiut were followed and reviewed. All cases requiring surgical interference in “emergency surgery”. Cases subjected urgent procedures during (2020 and 2021) as “Pandemic Group” and during (2018 and 2019) as “Control Group”. Results: Within the two eras, 770 cases (590+180), comprising 293 cases (102+116+50+25) who underwent emergency surgery and 477 patients (188+184+80+25) who were observed non-operatively, were included in the present study. There was 37% of the patients (102+116/590) underwent surgery in the control group and 42% of the pandemic group (50+25/180) underwent surgery. There was a 65.6% (143/218) reduction in the number of emergency surgeries and 61.4% (267/372) decline in the observational managed cases of the pandemic series. Conclusions: This article aims to tool up proper directions to undergo urgent surgery in a protected and safe medium for both healthcare professionals and patients during COVID-19 attach displayed the most significant directions for COVID-19 victim’s requirements for urgent operative management. Thus advising checking of COVID-19 contagion in emergency expecting urgent interference. We advise keeping the suspected patient in isolation till PCR result is available, and to treat the patient as a case of overt COVID.

Keywords

COVID-19 pandemic; surgical emergencies; outcomes

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