Acta Scientific Clinical Case Reports

Case Report Volume 1 Issue 10

Emergency Surgery in COVID-19 Era: A Case of Complicated Parastomal Hernia

Agostini C, Fortuna L, Bottari A, Cianchi F and Coratti F*

Center for Oncological Minimally Invasive Surgery (COMIS), Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy

*Corresponding Author: Coratti F, Center for Oncological Minimally Invasive Surgery (COMIS), Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

Received: August 28, 2020; Published: October 20, 2020

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Abstract

Introduction: The coronavirus disease pandemia created unedited challenges for surgical departments. Moreover it required a reorganization in surgical settings and plannings, because it can complicate the perioperative course with new challenges. This is a retrospective case report of a woman affected by COVID-19 pneumonia who developed intestinal occlusion due to complicated clogged parastomal hernia. She didn't develop perioperative complications in the COVID-19 outbreak and she was operated on for emergency surgery.

Presentation of Case: A 78-year-old woman, presenting with COVID-19 pneumonia developed an intestinal occlusion due to the clogged parastomal hernia associated with a subcutaneous abscess. She presented with a wall mass on the previous incision side of colostomy. Emergency surgical intervention was therefore performed, with partial lysis of tenacious viscero-visceral adhesions, a direct plastic of the abdominal wall defect and the packaging of a new colostomy on rod.

Discussion: The incidence of incisional hernia (IH) rely on many factors including sex, obesity, age, closure type, wound infection, abdominal distension. IH complicates from 10% to 15% of all abdominal surgeries (AS). Parastomal hernia (PSH) also is a common complication of a stoma surgery. The incidence range is between 32.3% to 93% with colostomy demonstrating a higher rate compared to ileostomy. The effects on a new COVID-19 infection or exacerbation of current infection related to the anesthesia, the surgical stress and the perioperative medications are unknown. 

Conclusion: The aim of this report is to describe the clinical presentation and outcome of emergency surgical patient during the COVID-19 outbreak. 

Keywords: 2019-nCoV; COVID-19; Incisional Hernia; Surgery; Emergency

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References

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Citation

Citation: Coratti F., et al. “Emergency Surgery in COVID-19 Era: A Case of Complicated Parastomal Hernia". Acta Scientific Clinical Case Reports 1.10 (2020): 22-25.




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