Evaluation of the appendectomy cases performed under emergency conditions during the COVID-19 pandemic and discussed with the pathology reports
The aim of this study is to examine the cases underwent appendectomy during the COVID-19 pandemic and to discuss the pathology reports of patients. During the COVID-19 pandemic, the pathological reports of the appendectomy materials of 588 patients over the age of 15 who applied to the emergency dep...
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| Veröffentlicht in: | Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES 2022-05, Vol.28 (5), p.703-710 |
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| container_title | Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES |
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| creator | Sevinç, Mert Mahsuni Karagülle, Onur Olgaç Kaya, Rozan Ertürk, Candeniz Doğan, Selim |
| description | The aim of this study is to examine the cases underwent appendectomy during the COVID-19 pandemic and to discuss the pathology reports of patients.
During the COVID-19 pandemic, the pathological reports of the appendectomy materials of 588 patients over the age of 15 who applied to the emergency department between January 1, 2020, and June 1, 2021, were examined. A total of 565 patients with a diagnosis of acute (AA), subacute (SA), or perforated appendicitis (PA) were included and divided into three groups according to diagnosis. Twenty-three patients were excluded from the study due to other pathologies. The age, gender, duration of pain, ASA score, operational technique, operation time, Clavien-Dindo score, hospitalization time, post-operative complications, pre- and post-operative PCR and thoracic tomography findings in suspected cases of COVID-19, and laboratory and radiological findings of patients were retrospectively analyzed.
Of 565 patients diagnosed with appendicitis, 464 (82.1%) had AA, 35 (6.2%) SA, and 66 (11.7%) PA. The median age of the PA group was higher than in the AA group (p=0.0139). The incidence of diabetes mellitus in the PA group and of asthma in the SA group were highest among other groups (p=0.004 and 0.0037, respectively). The duration of pain was longer in the SA and PA groups than the AA group (p |
| doi_str_mv | 10.14744/tjtes.2022.16287 |
| format | Article |
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During the COVID-19 pandemic, the pathological reports of the appendectomy materials of 588 patients over the age of 15 who applied to the emergency department between January 1, 2020, and June 1, 2021, were examined. A total of 565 patients with a diagnosis of acute (AA), subacute (SA), or perforated appendicitis (PA) were included and divided into three groups according to diagnosis. Twenty-three patients were excluded from the study due to other pathologies. The age, gender, duration of pain, ASA score, operational technique, operation time, Clavien-Dindo score, hospitalization time, post-operative complications, pre- and post-operative PCR and thoracic tomography findings in suspected cases of COVID-19, and laboratory and radiological findings of patients were retrospectively analyzed.
Of 565 patients diagnosed with appendicitis, 464 (82.1%) had AA, 35 (6.2%) SA, and 66 (11.7%) PA. The median age of the PA group was higher than in the AA group (p=0.0139). The incidence of diabetes mellitus in the PA group and of asthma in the SA group were highest among other groups (p=0.004 and 0.0037, respectively). The duration of pain was longer in the SA and PA groups than the AA group (p<0.0001), therefore, the patients applied to hospital later than the acute group. The rate of thorax CT-positive scans was 1.6% in patients suspected for COVID-19 (p=0.066). While laparoscopic surgery was preferred over 70% in all groups, the rate of conventional surgery (21.1%) in the AA group was highest and of transition from laparoscopic to open surgery was highest in the PA group (10.6%) (p<0.0001). Hospitalization duration was longest in the PA group (p<0.0001).
COVID-19 pandemic not only changes all routines of social life but also complicates the treatment and manage-ment of cases with AA symptoms applied to hospital under emergency conditions. Follow-up of the appendectomy specimen is crucial in terms of excluding other pathologies.</description><identifier>ISSN: 1306-696X</identifier><identifier>EISSN: 1307-7945</identifier><identifier>DOI: 10.14744/tjtes.2022.16287</identifier><identifier>PMID: 35485461</identifier><language>eng</language><publisher>Turkey: Kare Publishing</publisher><subject>Appendectomy ; Appendectomy - methods ; Appendicitis ; Appendicitis - diagnosis ; Appendicitis - epidemiology ; Appendicitis - surgery ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; Diabetes ; Humans ; Laparoscopy ; Original ; Pain ; Pandemics ; Pathology ; Retrospective Studies ; Surgery</subject><ispartof>Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2022-05, Vol.28 (5), p.703-710</ispartof><rights>2022. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2022 Turkish Journal of Trauma and Emergency Surgery 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3437-e97fab42e41d8df600498812513fbff5f6e51d2d3fed043aadc20224058976dc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10442994/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10442994/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35485461$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sevinç, Mert Mahsuni</creatorcontrib><creatorcontrib>Karagülle, Onur Olgaç</creatorcontrib><creatorcontrib>Kaya, Rozan</creatorcontrib><creatorcontrib>Ertürk, Candeniz</creatorcontrib><creatorcontrib>Doğan, Selim</creatorcontrib><title>Evaluation of the appendectomy cases performed under emergency conditions during the COVID-19 pandemic and discussed with the pathology reports</title><title>Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES</title><addtitle>Ulus Travma Acil Cerrahi Derg</addtitle><description>The aim of this study is to examine the cases underwent appendectomy during the COVID-19 pandemic and to discuss the pathology reports of patients.
During the COVID-19 pandemic, the pathological reports of the appendectomy materials of 588 patients over the age of 15 who applied to the emergency department between January 1, 2020, and June 1, 2021, were examined. A total of 565 patients with a diagnosis of acute (AA), subacute (SA), or perforated appendicitis (PA) were included and divided into three groups according to diagnosis. Twenty-three patients were excluded from the study due to other pathologies. The age, gender, duration of pain, ASA score, operational technique, operation time, Clavien-Dindo score, hospitalization time, post-operative complications, pre- and post-operative PCR and thoracic tomography findings in suspected cases of COVID-19, and laboratory and radiological findings of patients were retrospectively analyzed.
Of 565 patients diagnosed with appendicitis, 464 (82.1%) had AA, 35 (6.2%) SA, and 66 (11.7%) PA. The median age of the PA group was higher than in the AA group (p=0.0139). The incidence of diabetes mellitus in the PA group and of asthma in the SA group were highest among other groups (p=0.004 and 0.0037, respectively). The duration of pain was longer in the SA and PA groups than the AA group (p<0.0001), therefore, the patients applied to hospital later than the acute group. The rate of thorax CT-positive scans was 1.6% in patients suspected for COVID-19 (p=0.066). While laparoscopic surgery was preferred over 70% in all groups, the rate of conventional surgery (21.1%) in the AA group was highest and of transition from laparoscopic to open surgery was highest in the PA group (10.6%) (p<0.0001). Hospitalization duration was longest in the PA group (p<0.0001).
COVID-19 pandemic not only changes all routines of social life but also complicates the treatment and manage-ment of cases with AA symptoms applied to hospital under emergency conditions. Follow-up of the appendectomy specimen is crucial in terms of excluding other pathologies.</description><subject>Appendectomy</subject><subject>Appendectomy - methods</subject><subject>Appendicitis</subject><subject>Appendicitis - diagnosis</subject><subject>Appendicitis - epidemiology</subject><subject>Appendicitis - surgery</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Diabetes</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Original</subject><subject>Pain</subject><subject>Pandemics</subject><subject>Pathology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><issn>1306-696X</issn><issn>1307-7945</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVUctu1DAUtRCIVqUfwAZZYp2pX7HjFUJDgUqVugHEzvLY1zMZTeJgO0XzFfwynvQhWN0rncc99kHoLSUrKpQQV2VfIK8YYWxFJevUC3ROOVGN0qJ9ueyykVr-PEOXOe8JIZRyzal6jc54K7pWSHqO_lzf28NsSx9HHAMuO8B2mmD04EocjtjZDBlPkEJMA3g8VyRhGCBtYXQVj6PvT-qM_Zz6cbtYrO9-3HxqqMaTrfyhd7hO7Pvs5pyry---7BbiZMsuHuL2iBNMMZX8Br0K9pDh8nFeoO-fr7-tvza3d19u1h9vG8cFVw1oFexGMBDUdz5IQoTuOspaysMmhDZIaKlnngfwRHBrvTt9lCBtp5X0jl-gDw--07yp73IwlmQPZkr9YNPRRNub_5Gx35ltvDeUCMG0FtXh_aNDir9myMXs45zGGtow2WrFGBWssugDy6WYc4LwfIISs_Rolh7NKZ5Zeqyad_9me1Y8tcb_AvnCnbo</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>Sevinç, Mert Mahsuni</creator><creator>Karagülle, Onur Olgaç</creator><creator>Kaya, Rozan</creator><creator>Ertürk, Candeniz</creator><creator>Doğan, Selim</creator><general>Kare Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20220501</creationdate><title>Evaluation of the appendectomy cases performed under emergency conditions during the COVID-19 pandemic and discussed with the pathology reports</title><author>Sevinç, Mert Mahsuni ; 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During the COVID-19 pandemic, the pathological reports of the appendectomy materials of 588 patients over the age of 15 who applied to the emergency department between January 1, 2020, and June 1, 2021, were examined. A total of 565 patients with a diagnosis of acute (AA), subacute (SA), or perforated appendicitis (PA) were included and divided into three groups according to diagnosis. Twenty-three patients were excluded from the study due to other pathologies. The age, gender, duration of pain, ASA score, operational technique, operation time, Clavien-Dindo score, hospitalization time, post-operative complications, pre- and post-operative PCR and thoracic tomography findings in suspected cases of COVID-19, and laboratory and radiological findings of patients were retrospectively analyzed.
Of 565 patients diagnosed with appendicitis, 464 (82.1%) had AA, 35 (6.2%) SA, and 66 (11.7%) PA. The median age of the PA group was higher than in the AA group (p=0.0139). The incidence of diabetes mellitus in the PA group and of asthma in the SA group were highest among other groups (p=0.004 and 0.0037, respectively). The duration of pain was longer in the SA and PA groups than the AA group (p<0.0001), therefore, the patients applied to hospital later than the acute group. The rate of thorax CT-positive scans was 1.6% in patients suspected for COVID-19 (p=0.066). While laparoscopic surgery was preferred over 70% in all groups, the rate of conventional surgery (21.1%) in the AA group was highest and of transition from laparoscopic to open surgery was highest in the PA group (10.6%) (p<0.0001). Hospitalization duration was longest in the PA group (p<0.0001).
COVID-19 pandemic not only changes all routines of social life but also complicates the treatment and manage-ment of cases with AA symptoms applied to hospital under emergency conditions. Follow-up of the appendectomy specimen is crucial in terms of excluding other pathologies.</abstract><cop>Turkey</cop><pub>Kare Publishing</pub><pmid>35485461</pmid><doi>10.14744/tjtes.2022.16287</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2022-05, Vol.28 (5), p.703-710 |
| issn | 1306-696X 1307-7945 |
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| source | MEDLINE; PubMed Central(OpenAccess); PubMed Central Open Access |
| subjects | Appendectomy Appendectomy - methods Appendicitis Appendicitis - diagnosis Appendicitis - epidemiology Appendicitis - surgery Coronaviruses COVID-19 COVID-19 - epidemiology Diabetes Humans Laparoscopy Original Pain Pandemics Pathology Retrospective Studies Surgery |
| title | Evaluation of the appendectomy cases performed under emergency conditions during the COVID-19 pandemic and discussed with the pathology reports |
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