Claudio Racana^1,3, Ignacio Alonso^1,4, Marcelo Barrenechea^1,5, Romina Gagliardi^1,4, Carlos Giuseppucci^1,6, Nieves Gomez^1,4, Gisela Kesseler^1,4*, Ignacio Montes^1,4, Ana Laura Naso^1,4, Carolina Perez Espinoza^1,7, Matías Sprovieri^1,4 and Luis Gamba^1,2

¹Pediatric Hospital “Prof. Dr. Juan P. Garrahan”, Combate de los Pozos 1881, Ciudad Autónoma de Buenos Aires, Argentina

*Corresponding Author: Gisela Kesseler, Pediatric Hospital “Prof. Dr. Juan P. Garrahan”, Combate de los Pozos 1881, Ciudad Autónoma de Buenos Aires, Argentina.

Received: August 26, 2021; Published: September 15, 2021

Citation: Gisela Kesseler., et al. “Influence of Coronavirus 2 Pandemic on Acute Surgical Abdomen in Pediatrics: Retrospective Cohort Study". Acta Scientific Paediatrics 4.10 (2021): 24-29.

Abstract

Purpose: Retrospective evaluation of Coronavirus 2 (SARS-Cov-2) associated with surgical acute abdomen in our hospital.

Methods: Observational and retrospective study, that includes patients age 0-18 years old, whose diagnosis was surgical acute abdomen. The evaluated periods were April to June 2019 and April to June 2020. The variables have been analyzed: demographics, clinical history, current preoperative disease, surgical procedure and evolution.

Results: Study included 205 patients, 127 from 2019 (0.6% of procedures) and 78 from 2020 (1.7% of procedures). In 2020 patients took longer to consult and longer delay in entering the operating room. There were no significative differences about severe forms of presentation or complications. Either were no differences into hospital stay.

Conclusion: SARS-Cov-2 pandemic had no influence on the evaluated patients. Also protocolizing inpatient care had no negative impact on patients. It is important to highlight that SARS-Cov-2 gets confused with surgical acute abdomen in pediatric patients.

Keywords: Acute Abdomen; Betacoronavirus; Appendectomy; Pediatrics; Postoperative Complication

Bibliography

1. Huang L., et al. “Comparison of antibiotic therapy and appendectomy for acute uncomplicated appendicitis in children a meta-analysis”. JAMA Pediatrics 171 (2017): 426-434.
2. Sun D., et al. “Clinical features of severe pediatric patients with coronavirus disease 2019 in Wuhan: a single center’s observational study”. World Journal of Pediatrics 16 (2020): 251-259.
3. Zhou Z., et al. “Effect of Gastrointestinal Symptoms in Patients with COVID-19”. Gastroenterology8 (2020): 2294-2297.
4. Villanueva M., et al. “Manifestaciones gastrointestinales y hepáticas de COVID-19 en niños”. Revista Chilena de Pediatría4 (2020): 623-630.
5. Blanco-Colino R., et al. “Suspected Acute Abdomen as an Extrapulmonary Manifestation of Covid-19 Infection”. Cirugía Española5 (2020): 295-296.
6. Velayos M., et al. “Influencia de la pandemia por coronavirus 2 (SARS-Cov-2) en la apendicitis aguda”. Anales de Pediatría2 (2020): 118-122.
7. Página web del American College of Surgeons. Triaje y COVID-19 en cirugía general urgente (2020).
8. Página web de la Association of Surgeons of Great Britain and Ireland. Recomendaciones en cirugía y COVID-19 (2020).
9. Balibrea JM., et al. “Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons”. Cirugía Española5 (2020): 251-259.
10. Galiano Gil JM., et al. “Abdomen agudo durante la pandemia COVID-19”. Revista Cubana de Cirugía2 (2020): e957.
11. Polites SF and Azarow KS. “Perspectives on Pediatric Appendicitis and Appendectomy During the Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic”. Journal of Laparoendoscopic and Advanced Surgical Techniques 30 (2020): 356-357.
12. Li L., et al. “COVID ‐ 19 patients’ clinical characteristics, discharge rate, and fatality rate of meta ‐ analysis”. Journal of Medical Virology (2020): 1-7.

Copyright: © 2021 Gisela Kesseler., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.