SciELO - Scientific Electronic Library Online

 
vol.90 suppl.2Effect of Re-TUR time on recurrence and progression in high-risk non-muscle-invasive bladder cancerCommon bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis author indexsubject indexsearch form
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Cirugía y cirujanos

On-line version ISSN 2444-054XPrint version ISSN 0009-7411

Abstract

SERRANO-GONZALEZ, Sheyla P.; NAJERA-REYES, Jerath A.  and  ORTIZ-MENDOZA, Carlos M.. Changing characteristics of emergency surgery during COVID-19 pandemic: a retrospective cohort study. Cir. cir. [online]. 2022, vol.90, suppl.2, pp.13-17.  Epub Dec 20, 2023. ISSN 2444-054X.  https://doi.org/10.24875/ciru.21000876.

Background:

In other countries, researchers have noticed diverse variations in the features of patients undergoing emergency surgery during the COVID-19 pandemic. In Mexico, there is not information about this issue.

Methods:

Workers of the Mexican Government, who required emergency surgeries were studied by the general surgery service of a General Hospital administered by the Institute of Social Security and Services for State Workers Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), through the periods from March-August 2019 (non-exposed) and March-August 2020 (exposed). The analysis included: demographic data, laboratory information, post-operative diagnoses, symptoms' length, days of emergency stay, and post-operative stay.

Results:

One hundred and ninety-three emergency surgeries were analyzed; 106 in 2019 and 87 in 2020 (a decrease of 18%). Throughout the pandemic, the number of days between the symptoms' onset and surgery was greater: 2019, 7.6 ± 4.6 days; 2020, 14 ± 6.7 days (p < 0.0001). In addition, cases of acute appendicitis decreased (2019-60.3%; 2020-42.5%), and those of acute calculous cholecystitis increased (2019-12.2%; 2020-24.1%).

Conclusion:

Through the COVID-19 pandemic, there were notable changes in the characteristics of Mexican Government's workers who warranted emergency surgery.

Keywords : Abdominal pain; Abdominal surgery; COVID-19; Emergency; Lockdown.

        · abstract in Spanish     · text in English     · English ( pdf )