Emergency abdominopelvic operations in patients with COVID-19at Hospital Edgardo Rebagliati Martins ­ EsSalud

Introduccion La pandemia COVID-19 que se declaro el 11 de marzo de este ano, se extendio desde China a todo el mundo rapidamente, y la gran cantidad de pacientes infectados ha saturado nuestro precario sistema de salud, lo que ha obligado a restringir la actividad quirurgica electiva y de emergencia El objetivo del presente estudio fue describir las caracteristicas clinicas y quirurgicas de los pacientes con COVID-19 operados en el servicio de emergencia del Hospital Nacional Edgardo Rebagliati Martins - EsSalud Metodo Se realizo un estudio descriptivo, observacional y retrospectivo, donde se incluyeron los pacientes con diagnostico de COVID-19 operados por el servicio de emergencia, entre el 6 de marzo y el 8 de junio de 2020 Se analizan las caracteristicas clinicas, hallazgos en los examenes diagnosticos y caracteristicas quirurgicas Resultados Se operaron de emergencia 26 pacientes y se realizaron 17 cesareas, 4 apendicectomias, 2 resecciones intestinales con ostomia, una herniorrafia inguinal, una rafia vesical y una laparotomia exploradora Todas tu-vieron abordaje abierto Los sintomas mas frecuentes fueron tos y fiebre;23% los pacientes fueron asintomaticos El diagnostico de COVID-19 se confirmo con pruebas rapidas o serologicas En el grupo de patologia abdominal se elevaron la proteina C reactiva y el dimero D mas que en el grupo de cesareas Se encontro una complicacion (infeccion del sitio operatorio) y no se observo fallecimientos Conclusion La adopcion de medidas restrictivas en la indicacion quirurgica de emergencia en los pacientes puede explicar la ausencia de complicaciones severas y fallecimientos en esta serie Introduction The COVID-19 pandemic that was declared on March 11 of this year, spread from China to the entire world rapidly, and the large number of infected patients has saturated our precarious health system, which has forced to restrict the elective and emergency surgical activity The objective of this study was to describe the clinical and surgical characteristics of patients with COVID-19 operated on in the emergency service of the Edgardo Rebagliati Martins National Hospital ­ EsSalud Method A descriptive, observational and retrospective study was performed, which included patients with a diagnosis of COVID-19 operated by the emergency service, between March 6 and June 8, 2020 The clinical characteristics, diagnostic tests and surgical findings were analyzed Results 26 patients underwent emergency surgery and 17 caesarean sections, four appendectomies, two intestinal resections with ostomy, an inguinal herniorrhaphy, a bladder raffia and an exploratory laparotomy were performed All had an open approach The most frequent symptoms were cough and fever;23% of the patients were asymptomatic The diagnosis of COVID-19 was confirmed with rapid or serological tests In the abdominal pathology group, C-reactive protein and D-dimer were elevated more than in the cesarean section A complication was found (infection of the surgical site) and no deaths were observed Conclusion The adoption of restrictive measures in surgical indications for emergency patients may explain the absence of severe complications and deaths in this series