Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societies

Autor: JOSÉ GUSTAVO PARREIRA, LOUISIE GALANTINI LANA DE-GODOY, TERCIO DE-CAMPOS, PEDRO DE SOUZA LUCARELLI-ANTUNES, LUIZ GUSTAVO DE-OLIVEIRA-E-SILVA, HEITOR GAVIÃO SANTOS, RENATO ABRANTES LUNA, PEDRO EDER PORTARI FILHO, JOSE CESAR ASSEF
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2021
Předmět:
Zdroj: Revista do Colégio Brasileiro de Cirurgiões, Vol 48 (2021)
Druh dokumentu: article
ISSN: 1809-4546
0100-6991
DOI: 10.1590/0100-6991e-20202717
Popis: ABSTRACT Acute appendicitis (AA) is a frequent cause of abdominal pain requiring surgical treatment. During the COVID-19 pandemic, surgical societies considered other therapeutic options due to uncertainties in the evolution of the disease. The purpose of this study is to assess the treatment of AA by members of two Brazilian surgical societies in this period. A common questionnaire was sent in 2020. There were 382 responses. Most surgeons had more than 15 years of profession (68.3%) and treated more than five cases per month (44.8%). About 72.5% would indicate chest CT to investigate COVID-19 in patients with AA. For those patients sustaining uncomplicated AA, without COVID-19, 60.2% would indicate laparoscopic appendectomy (VLA), followed by open appendectomy (OA) (31.7%) and non-operative management (NOM) (1.3%). For those with mild COVID-19, OA was suggested by 51.0%, followed by VLA (29.6%) and NOM (6.0%). For those with severe COVID-19, OA was proposed by 35.3%, followed by NOM (19.9%) and VLA (18.6%). For patients with periappendiceal abscesses, without COVID-19, VLA was suggested by 54.2%, followed by OA (33.2%) and NOM (4.4%). For those with mild COVID-19, OA was proposed in 49.5%, followed by VLA (29.3%) and NOM (8.9%). In those with severe COVID-19, OA was proposed in 36.6%, followed by NOM (25.1%) and VLA (17.3%). This information, based on two recognized Brazilian surgical societies, can help the surgeon to select the best approach individually.
Databáze: Directory of Open Access Journals
Externí odkaz: