COVID-19 Outbreak and Surgical Practice: Unexpected Fatality in Perioperative Period
Open accessAbstract
: Little is known about surgical practice in the initial phase of coronavirus disease 2019 (COVID-19) global crisis. This is a retrospective case series of 4 surgical patients (cholecystectomy, hernia repair, gastric bypass, and hysterectomy) who developed perioperative complications in the first few weeks of COVID-19 outbreak in Tehran, Iran in the month of February 2020. COVID-19 can complicate the perioperative course with diagnostic challenge and a high potential fatality rate. In locations with widespread infections and limited resources, the risk of elective surgical procedures for index patient and community may outweigh the benefit.
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A study across 58 countries reported a 30-day mortality of 14.9% in the high-risk subgroup who had emergency midline laparotomy.
“a study across 58 countries, including low-income and middle-income countries, reported a 30-day mortality of 14·9% in the high-risk subgroup who had emergency midline laparotomy.20”
From Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study (2020) · cites this paper as [20]
The mortality rates identified in this study are higher than those previously reported across international settings.
“The mortality rates identified in this study are also higher than those previously reported across international settings”
From Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study (2020) · cites this paper as [20]
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- Authors
- Aminian, A., Safari, S., Razeghian-Jahromi, A., Ghorbani, M., & Delaney, C. P.
- Affiliations
- Cleveland Clinic (US)
- Iran University of Medical Sciences (IR)
- General Surgery Private Practice, Tehran, Iran.
- Corresponding author
- Aminian, Ali
- Venue
- Annals of Surgery
- Published
- 2020-03-26
- Volume
- 272
- Issue
- 1
- Pages
- e27-e29
- ISSN
- 0003-4932 (ISSN-L)
- 1528-1140
- PMC
- PMC7188030
- OpenAlex
- W3013602603
- Cited by
- 358
- References
- 8
- Citations by year
- 2025: 3 · 2024: 7 · 2023: 29 · 2022: 34 · 2021: 92 · 2020: 191 · 2012: 1
- FWCI
- 31.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annals of Surgery (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Obstetrics and Gynecology › COVID-19 Impact on Reproduction
- Keywords
- COVID-19 pandemic, perioperative complications, elective surgery, surgical practice during pandemic, cholecystectomy, hernia repair, gastric bypass, hysterectomy, diagnostic challenges, resource-limited settings
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, COVID-19 Testing, Cholecystectomy, Diagnosis, Differential, Female, Humans, Hysterectomy, Iran, Pneumonia, Viral, Postoperative Complications, Retrospective Studies, Gastric Bypass, Elective Surgical Procedures, Coronavirus Infections, Clinical Laboratory Techniques, Pandemics, Herniorrhaphy
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