Mikel Prieto1, Benedetto Ielpo2, Montiel Jiménez Fuertes3, María Del Carmen González Sánchez4, Esteban Martín Antona5, José M Balibrea6, José Manuel Aranda Narváez7. 1. Servicio de Cirugía General, Unidad de Cirugía Hepatobiliar y Trasplante Hepático, Hospital Universitario Cruces, Bilbao, Universidad del País Vasco UPV-EHU. Electronic address: mikelprietocalvo@hotmail.com. 2. Unidad de Cirugía Hepatobiliopancreática, Hospital Universitario del Mar, Barcelona, España. 3. Unidad de Trauma y Cirugía de Urgencias, Unidad CHBP, Servicio de Cirugía General y Digestiva, Hospital Universitario Fundación Jiménez Díaz. 4. Departamento de cirugía General, Complejo Asistencial Universitario de Salamanca. 5. Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario de San Carlos, Madrid, Universidad Complutense de Madrid, Sección de Infección Quirúrgica de la AEC, Sección de Obesidad Mórbida de la AEC. 6. Servicio de Cirugía Gastrointestinal (ICMDiM), Hospital Clínic de Barcelona, Universitat de Barcelona, Sección de Infección Quirúrgica de la AEC. 7. Servicio de Cirugía General, Hospital Regional Universitario Carlos Haya, Málaga, Sección de Trauma y Cirugía de Urgencias de la AEC.
Abstract
INTRODUCTION: The COVID-19 pandemic has had a significant impact on Spanish hospitals, which have had to allocate all available resources to treat these patients, reducing the ability to attend other common pathologies. The aim of this study is to analyze how the treatment of acute appendicitis has been affected. METHOD: A national descriptive study was carried out by a online voluntary distribution of a specific questionnaire with Google Drive™ distributed by email by the Spanish Association of Surgeons (AEC) to all affiliated surgeons actually working in Spain (5203) opened from April 14th to April 24th. RESULTS: We received 337 responses from 170 centers. During the first month of the pandemic the incidence of acute appendicitis has decreased. Although conservative management has increased, surgical option has been the most used in both simple and complicated appendicitis. Despite the fact that the laparoscopic approach continues to be the most widely used in our services, the open approach has increased during this pandemic period. CONCLUSION: Highlight the contribution of this study in terms of knowledge of the status of the treatment of acute appendicitis during this first month of the pandemic, being able to serve for a better possible organization in future waves of the pandemic and a reorganization of current protocols and management of acute appendicitis in a pandemic situation.
INTRODUCTION: The COVID-19 pandemic has had a significant impact on Spanish hospitals, which have had to allocate all available resources to treat these patients, reducing the ability to attend other common pathologies. The aim of this study is to analyze how the treatment of acute appendicitis has been affected. METHOD: A national descriptive study was carried out by a online voluntary distribution of a specific questionnaire with Google Drive™ distributed by email by the Spanish Association of Surgeons (AEC) to all affiliated surgeons actually working in Spain (5203) opened from April 14th to April 24th. RESULTS: We received 337 responses from 170 centers. During the first month of the pandemic the incidence of acute appendicitis has decreased. Although conservative management has increased, surgical option has been the most used in both simple and complicated appendicitis. Despite the fact that the laparoscopic approach continues to be the most widely used in our services, the open approach has increased during this pandemic period. CONCLUSION: Highlight the contribution of this study in terms of knowledge of the status of the treatment of acute appendicitis during this first month of the pandemic, being able to serve for a better possible organization in future waves of the pandemic and a reorganization of current protocols and management of acute appendicitis in a pandemic situation.
Authors: Jari Mällinen; Siina Vaarala; Markus Mäkinen; Elina Lietzén; Juha Grönroos; Pasi Ohtonen; Tero Rautio; Paulina Salminen Journal: Int J Colorectal Dis Date: 2019-06-24 Impact factor: 2.571
Authors: Salomone Di Saverio; Mauro Podda; Belinda De Simone; Marco Ceresoli; Goran Augustin; Alice Gori; Marja Boermeester; Massimo Sartelli; Federico Coccolini; Antonio Tarasconi; Nicola De' Angelis; Dieter G Weber; Matti Tolonen; Arianna Birindelli; Walter Biffl; Ernest E Moore; Michael Kelly; Kjetil Soreide; Jeffry Kashuk; Richard Ten Broek; Carlos Augusto Gomes; Michael Sugrue; Richard Justin Davies; Dimitrios Damaskos; Ari Leppäniemi; Andrew Kirkpatrick; Andrew B Peitzman; Gustavo P Fraga; Ronald V Maier; Raul Coimbra; Massimo Chiarugi; Gabriele Sganga; Adolfo Pisanu; Gian Luigi De' Angelis; Edward Tan; Harry Van Goor; Francesco Pata; Isidoro Di Carlo; Osvaldo Chiara; Andrey Litvin; Fabio C Campanile; Boris Sakakushev; Gia Tomadze; Zaza Demetrashvili; Rifat Latifi; Fakri Abu-Zidan; Oreste Romeo; Helmut Segovia-Lohse; Gianluca Baiocchi; David Costa; Sandro Rizoli; Zsolt J Balogh; Cino Bendinelli; Thomas Scalea; Rao Ivatury; George Velmahos; Roland Andersson; Yoram Kluger; Luca Ansaloni; Fausto Catena Journal: World J Emerg Surg Date: 2020-04-15 Impact factor: 5.469
Authors: Federico Coccolini; Gennaro Perrone; Massimo Chiarugi; Francesco Di Marzo; Luca Ansaloni; Ildo Scandroglio; Pierluigi Marini; Mauro Zago; Paolo De Paolis; Francesco Forfori; Ferdinando Agresta; Alessandro Puzziello; Domenico D'Ugo; Elena Bignami; Valentina Bellini; Pietro Vitali; Flavia Petrini; Barbara Pifferi; Francesco Corradi; Antonio Tarasconi; Vittoria Pattonieri; Elena Bonati; Luigi Tritapepe; Vanni Agnoletti; Davide Corbella; Massimo Sartelli; Fausto Catena Journal: World J Emerg Surg Date: 2020-04-07 Impact factor: 5.469