Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societies
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100307 |
Resumo: | ABSTRACT Acute appendicitis (AA) is a frequent cause of abdominal pain requiring surgical treatment. During the COVID-19 pandemic, surgical societies considered other therapeutic options due to uncertainties in the evolution of the disease. The purpose of this study is to assess the treatment of AA by members of two Brazilian surgical societies in this period. A common questionnaire was sent in 2020. There were 382 responses. Most surgeons had more than 15 years of profession (68.3%) and treated more than five cases per month (44.8%). About 72.5% would indicate chest CT to investigate COVID-19 in patients with AA. For those patients sustaining uncomplicated AA, without COVID-19, 60.2% would indicate laparoscopic appendectomy (VLA), followed by open appendectomy (OA) (31.7%) and non-operative management (NOM) (1.3%). For those with mild COVID-19, OA was suggested by 51.0%, followed by VLA (29.6%) and NOM (6.0%). For those with severe COVID-19, OA was proposed by 35.3%, followed by NOM (19.9%) and VLA (18.6%). For patients with periappendiceal abscesses, without COVID-19, VLA was suggested by 54.2%, followed by OA (33.2%) and NOM (4.4%). For those with mild COVID-19, OA was proposed in 49.5%, followed by VLA (29.3%) and NOM (8.9%). In those with severe COVID-19, OA was proposed in 36.6%, followed by NOM (25.1%) and VLA (17.3%). This information, based on two recognized Brazilian surgical societies, can help the surgeon to select the best approach individually. |
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Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societiesEmergenciesPandemicsCoronaviridae InfectionsAppendicitisGeneral SurgeryABSTRACT Acute appendicitis (AA) is a frequent cause of abdominal pain requiring surgical treatment. During the COVID-19 pandemic, surgical societies considered other therapeutic options due to uncertainties in the evolution of the disease. The purpose of this study is to assess the treatment of AA by members of two Brazilian surgical societies in this period. A common questionnaire was sent in 2020. There were 382 responses. Most surgeons had more than 15 years of profession (68.3%) and treated more than five cases per month (44.8%). About 72.5% would indicate chest CT to investigate COVID-19 in patients with AA. For those patients sustaining uncomplicated AA, without COVID-19, 60.2% would indicate laparoscopic appendectomy (VLA), followed by open appendectomy (OA) (31.7%) and non-operative management (NOM) (1.3%). For those with mild COVID-19, OA was suggested by 51.0%, followed by VLA (29.6%) and NOM (6.0%). For those with severe COVID-19, OA was proposed by 35.3%, followed by NOM (19.9%) and VLA (18.6%). For patients with periappendiceal abscesses, without COVID-19, VLA was suggested by 54.2%, followed by OA (33.2%) and NOM (4.4%). For those with mild COVID-19, OA was proposed in 49.5%, followed by VLA (29.3%) and NOM (8.9%). In those with severe COVID-19, OA was proposed in 36.6%, followed by NOM (25.1%) and VLA (17.3%). This information, based on two recognized Brazilian surgical societies, can help the surgeon to select the best approach individually.Colégio Brasileiro de Cirurgiões2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100307Revista do Colégio Brasileiro de Cirurgiões v.48 2021reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20202717info:eu-repo/semantics/openAccessPARREIRA,JOSÉ GUSTAVODE-GODOY,LOUISIE GALANTINI LANADE-CAMPOS,TERCIOLUCARELLI-ANTUNES,PEDRO DE SOUZADE-OLIVEIRA-E-SILVA,LUIZ GUSTAVOSANTOS,HEITOR GAVIÃOLUNA,RENATO ABRANTESPORTARI FILHO,PEDRO EDERASSEF,JOSE CESAReng2021-10-08T00:00:00Zoai:scielo:S0100-69912021000100307Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2021-10-08T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societies |
title |
Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societies |
spellingShingle |
Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societies PARREIRA,JOSÉ GUSTAVO Emergencies Pandemics Coronaviridae Infections Appendicitis General Surgery |
title_short |
Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societies |
title_full |
Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societies |
title_fullStr |
Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societies |
title_full_unstemmed |
Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societies |
title_sort |
Management of acute appendicitis during the COVID-19 pandemic: Views of two Brazilian surgical societies |
author |
PARREIRA,JOSÉ GUSTAVO |
author_facet |
PARREIRA,JOSÉ GUSTAVO DE-GODOY,LOUISIE GALANTINI LANA DE-CAMPOS,TERCIO LUCARELLI-ANTUNES,PEDRO DE SOUZA DE-OLIVEIRA-E-SILVA,LUIZ GUSTAVO SANTOS,HEITOR GAVIÃO LUNA,RENATO ABRANTES PORTARI FILHO,PEDRO EDER ASSEF,JOSE CESAR |
author_role |
author |
author2 |
DE-GODOY,LOUISIE GALANTINI LANA DE-CAMPOS,TERCIO LUCARELLI-ANTUNES,PEDRO DE SOUZA DE-OLIVEIRA-E-SILVA,LUIZ GUSTAVO SANTOS,HEITOR GAVIÃO LUNA,RENATO ABRANTES PORTARI FILHO,PEDRO EDER ASSEF,JOSE CESAR |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
PARREIRA,JOSÉ GUSTAVO DE-GODOY,LOUISIE GALANTINI LANA DE-CAMPOS,TERCIO LUCARELLI-ANTUNES,PEDRO DE SOUZA DE-OLIVEIRA-E-SILVA,LUIZ GUSTAVO SANTOS,HEITOR GAVIÃO LUNA,RENATO ABRANTES PORTARI FILHO,PEDRO EDER ASSEF,JOSE CESAR |
dc.subject.por.fl_str_mv |
Emergencies Pandemics Coronaviridae Infections Appendicitis General Surgery |
topic |
Emergencies Pandemics Coronaviridae Infections Appendicitis General Surgery |
description |
ABSTRACT Acute appendicitis (AA) is a frequent cause of abdominal pain requiring surgical treatment. During the COVID-19 pandemic, surgical societies considered other therapeutic options due to uncertainties in the evolution of the disease. The purpose of this study is to assess the treatment of AA by members of two Brazilian surgical societies in this period. A common questionnaire was sent in 2020. There were 382 responses. Most surgeons had more than 15 years of profession (68.3%) and treated more than five cases per month (44.8%). About 72.5% would indicate chest CT to investigate COVID-19 in patients with AA. For those patients sustaining uncomplicated AA, without COVID-19, 60.2% would indicate laparoscopic appendectomy (VLA), followed by open appendectomy (OA) (31.7%) and non-operative management (NOM) (1.3%). For those with mild COVID-19, OA was suggested by 51.0%, followed by VLA (29.6%) and NOM (6.0%). For those with severe COVID-19, OA was proposed by 35.3%, followed by NOM (19.9%) and VLA (18.6%). For patients with periappendiceal abscesses, without COVID-19, VLA was suggested by 54.2%, followed by OA (33.2%) and NOM (4.4%). For those with mild COVID-19, OA was proposed in 49.5%, followed by VLA (29.3%) and NOM (8.9%). In those with severe COVID-19, OA was proposed in 36.6%, followed by NOM (25.1%) and VLA (17.3%). This information, based on two recognized Brazilian surgical societies, can help the surgeon to select the best approach individually. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100307 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100307 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20202717 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.48 2021 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
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Colégio Brasileiro de Cirurgiões (CBC) |
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CBC |
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CBC |
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Revista do Colégio Brasileiro de Cirurgiões |
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Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
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