COVID-19 heath crisis: less colorectal resections and yet no more peritonitis or bowel obstruction as a collateral effect?

29.06.2020 - 11:00 55
COVID-19 heath crisis: less colorectal resections and yet no more peritonitis or bowel obstruction as a collateral effect?

Maxime K. Collard (MD)1 , Jérémie H. Lefèvre (MD-PhD)1 , François Batteux2 , Yann Parc (MDPhD)1 , On behalf of the APHP / Universities / Inserm COVID-19 research collaboration.

  • 1 Digestive Surgery Department, Saint-Antoine Hospital, APHP, Sorbonne University, 75012 Paris, France.
  • 2 Department of Strategy and transformation, Assistance Publique-Hôpitaux de Paris (AP-HP).

Dear Editor,
Because of the rapid worldwide propagation of COVID-19 (coronavirus disease 2019), each health care system had to urgently adapt with all efforts aimed to maximize the capacity of treatment for infected patients. With this in mind, the President of the French Republic declared on March 12, 2020: “Non-essential hospital care will be postponed, i.e. surgical procedures that are not urgent.” But, in spite of the effort deployed by each hospital to provide a sufficient capacity of treatment for patients requiring a surgical procedure as an emergency, we have observed that the management of these patients have been largely affected, not because of a lack of resources but because of a surprising lack of patients. Consequently we analyzed the surgical activity from 12/03/2020 to 29/04/2020 in 16 adult gastrointestinal surgery departments within 14 French public university hospitals located in Paris or its close suburbs. The first day of this period corresponded to the date of the President's request to postpone planned surgery. The surgical procedures performed during this period were compared to those performed in 2019 over the equivalent period (14/03/2019-01/05/2019) and in the same surgical departments.

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    COVID-19 Гастроэзофагеальная рефлюксная болезнь Грыжа пищеводного отверстия диафрагмы Грыжи белой линии живота Диастаз прямых мышц живота Латеральная лимфодиссекция Метастатическое поражение печени Паховые грыжи Послеоперационные грыжи Рак желудка Рак поджелудочной железы Анальная трещина Анальные кондиломы Анальный зуд Болезнь Крона Воспалительные заболевания кишечника Выпадение прямой кишки Геморрой Грыжи передней брюшной стенки Дивертикулез Дивертикулит Дисфункция тазового дна Запор Кишечные стомы Колоректальный рак Лазер в проктологии Недержание кала Онкоколопроктология Операции Острый перианальный венозный тромбоз Парапроктит Полипы толстой кишки Проктология Пролапс тазового дна Рак анального канала Рак ободочной кишки Рак прямой кишки Рак толстой кишки Ректальный пролапс Свищи прямой кишки Эпителиальный копчиковый ход Эндометриоз Хирургия Язвенный колит