Operative vs non operative management in acute surgical diseases during Covid-19 pandemic: a 30 days experience from an Italian hospital in Lombardy.

Operative vs non operative management in acute surgical diseases during Covid-19 pandemic: a 30 days experience from an Italian hospital in Lombardy. Minerva Chir. 2020 Sep 25;: Authors: Spalluto M, Bevilacqua E, Baldazzi G, Cassini D Abstract The spread of Covid-19 pandemic have determined a huge imbalance between real clinical needs of the population and effective resources availability. The aim of this study is to report how this situation forces surgeons to consider a nonoperative management as an alternative choice. This is a retrospective monocentric study and we collected data from 60 patients, splitted in two groups: info from Group A, 28 patients (March 11th to April 11th 2020) were compared with info from Group B, 32 patients (March 11th to April 11th 2019). The most relevant difference between the groups is related to patients clinical management. The two groups had a considerably different number of cases that were treated with an operative management: 18 cases (64,7%) in Group A vs 28 cases (87,5%) in Group B. Otherwise, non-perative approach occurred in 10 cases (35,7%) in group A and only in 4 patients (12,5%) in group B. These data suggest that the drastic reduction of means narrows the range of therapeutic choices. Indeed in these emergency scenario, the rationing of healthcare resources was the propelling for surgeons to consider alternative therapeutic pathways. PMID: 32975386 [PubMed - as supplied by publi...
Source: Minerva Chirurgica - Category: Surgery Tags: Minerva Chir Source Type: research