Evaluation of Colorectal Surgical Patients and Treatment Modalities in a COVID-19
Pandemic Hospital: A Cross-sectional Study
1Department of General Surgery, University of Health Sciences, Haseki Resarch and Education Hospital, Istanbul, Turkey
2Department of Gastrointestinal Surgery, University of Health Sciences, Haseki Resarch and Education Hospital, Istanbul, Turkey
DOI: 10.22514/sv.2020.16.0059 Vol.16,Issue 2,October 2020 pp.155-159
Published: 28 October 2020
Objectives: The COVID-19 pandemic has emerged as a significant threat to healthcare systems, and has resulted in treatment algorithms being changed in general surgery clinics, as is the case in all other medical disciplines. In the present study we analyze the outcomes of patients who have undergone elective colorectal surgery in our hospital since the COVID-19 outbreak, as well as the precautionary procedural changes that have been made. Methods: The present study evaluates the approaches applied for the treatment of elective colorectal cancer patients in a pandemic hospital. In this cross-sectional study, conducted in a tertiary-level public hospital in Istanbul, Turkey, a retrospective review is made of the files of patients who underwent elective colorectal surgeries between 11.03.2020, as the date on which first case of COVID-19 was officially identified in Turkey, and 01.05.2020, in the general surgery clinic of a tertiary healthcare facility that has been designated a pandemic hospital. Results: A total of 18 patients underwent a surgical resection in accordance with oncological principles between the defined dates, having been diagnosis with a colorectal malignancy. None of the operated patients were considered suspicious for COVID-19 preoperatively, nor did they have any contact history. Furthermore, there were no suspicions or signs of COVID-19 during the 14-day follow-up of the discharged patients. Conclusion: It was established in the present study that patients undergoing colorectal surgery and patients with COVID-19 infections in the same hospital can be treated successfully without cross-infection through the application of appropriate isolation principles. These successful findings were supported by a 14-day follow-up after discharge.
COVID-19, Colorectal surgery, Pandemic hospital
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