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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, 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]
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“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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Metadata
- 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
- 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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