Emergency laparotomy and perioperative COVID-19: a single-center retrospective cohort study

In this study, 50 patients in the COVID-19 group and 91 patients in the non-COVID-19 group were assessed. The 30-day mortality in the COVID-19 group was significantly higher than in the non-COVID-19 group (34% vs. 12.1%, respectively,P = 0.004). Postoperative complications were significantly higher in the COVID-19 group (64% vs. 26.4%,P <  0.001). The frequency of ICU admission and need for re-operation were significantly higher in the COVID-19 group (P = 0.003 andP = 0.039, respectively). Length of hospital stay was significantly lower in the non-COVID-19 group (P = 0.021). In patients with confirmed COVID-19, emergency laparotomy is associated with increased postoperative morbidity and mortality. Additionally, emergency laparotomy is associated with increasing postoperative complications, length of hospital stay, intensive care admission, and additional surgery requirement.
Source: Updates in Surgery - Category: Surgery Source Type: research