Management of non traumatic surgical emergencies during the COVID-19 pandemia

ABSTRACT In December 2019, in Wuhan, China, the first cases of what would be known as COVID-19, a disease caused by an RNA virus called SARS-CoV-2, were described. Its spread was rapid and wide, leading the World Health Organization to declare a pandemic in March 2020. The disease has distinct clinical presentations, from asymptomatic to critical cases, with high lethality. Parallel to this, patients with non-traumatic surgical emergencies, such as acute appendicitis and cholecystitis, continue to be treated at the emergency services. In this regard, there were several doubts on how to approach these cases, among them: how to quickly identify the patient with COVID-19, what is the impact of the abdominal surgical disease and its treatment on the evolution of patients with COVID-19, in addition to the discussion about the role of the non-operative treatment for abdominal disease under these circumstances. In this review, we discuss these problems based on the available evidence.

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Main Authors: PARREIRA,JOSÉ GUSTAVO, CAMPOS,TERCIO DE, ANTUNES,PEDRO DE SOUZA LUCARELLI, PERLINGEIRO,JACQUELINE ARANTES GIANNINNI, ASSEF,JOSE CESAR
Format: Digital revista
Language:English
Published: Colégio Brasileiro de Cirurgiões 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100308
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spelling oai:scielo:S0100-699120200001003082020-06-30Management of non traumatic surgical emergencies during the COVID-19 pandemiaPARREIRA,JOSÉ GUSTAVOCAMPOS,TERCIO DEANTUNES,PEDRO DE SOUZA LUCARELLIPERLINGEIRO,JACQUELINE ARANTES GIANNINNIASSEF,JOSE CESAR Emergencies Pandemics Coronavirus Infections General Surgery ABSTRACT In December 2019, in Wuhan, China, the first cases of what would be known as COVID-19, a disease caused by an RNA virus called SARS-CoV-2, were described. Its spread was rapid and wide, leading the World Health Organization to declare a pandemic in March 2020. The disease has distinct clinical presentations, from asymptomatic to critical cases, with high lethality. Parallel to this, patients with non-traumatic surgical emergencies, such as acute appendicitis and cholecystitis, continue to be treated at the emergency services. In this regard, there were several doubts on how to approach these cases, among them: how to quickly identify the patient with COVID-19, what is the impact of the abdominal surgical disease and its treatment on the evolution of patients with COVID-19, in addition to the discussion about the role of the non-operative treatment for abdominal disease under these circumstances. In this review, we discuss these problems based on the available evidence.info:eu-repo/semantics/openAccessColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões v.47 20202020-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100308en10.1590/0100-6991e-20202614
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author PARREIRA,JOSÉ GUSTAVO
CAMPOS,TERCIO DE
ANTUNES,PEDRO DE SOUZA LUCARELLI
PERLINGEIRO,JACQUELINE ARANTES GIANNINNI
ASSEF,JOSE CESAR
spellingShingle PARREIRA,JOSÉ GUSTAVO
CAMPOS,TERCIO DE
ANTUNES,PEDRO DE SOUZA LUCARELLI
PERLINGEIRO,JACQUELINE ARANTES GIANNINNI
ASSEF,JOSE CESAR
Management of non traumatic surgical emergencies during the COVID-19 pandemia
author_facet PARREIRA,JOSÉ GUSTAVO
CAMPOS,TERCIO DE
ANTUNES,PEDRO DE SOUZA LUCARELLI
PERLINGEIRO,JACQUELINE ARANTES GIANNINNI
ASSEF,JOSE CESAR
author_sort PARREIRA,JOSÉ GUSTAVO
title Management of non traumatic surgical emergencies during the COVID-19 pandemia
title_short Management of non traumatic surgical emergencies during the COVID-19 pandemia
title_full Management of non traumatic surgical emergencies during the COVID-19 pandemia
title_fullStr Management of non traumatic surgical emergencies during the COVID-19 pandemia
title_full_unstemmed Management of non traumatic surgical emergencies during the COVID-19 pandemia
title_sort management of non traumatic surgical emergencies during the covid-19 pandemia
description ABSTRACT In December 2019, in Wuhan, China, the first cases of what would be known as COVID-19, a disease caused by an RNA virus called SARS-CoV-2, were described. Its spread was rapid and wide, leading the World Health Organization to declare a pandemic in March 2020. The disease has distinct clinical presentations, from asymptomatic to critical cases, with high lethality. Parallel to this, patients with non-traumatic surgical emergencies, such as acute appendicitis and cholecystitis, continue to be treated at the emergency services. In this regard, there were several doubts on how to approach these cases, among them: how to quickly identify the patient with COVID-19, what is the impact of the abdominal surgical disease and its treatment on the evolution of patients with COVID-19, in addition to the discussion about the role of the non-operative treatment for abdominal disease under these circumstances. In this review, we discuss these problems based on the available evidence.
publisher Colégio Brasileiro de Cirurgiões
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100308
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