Servicio de Cirugía General, Unidad de Cirugía Hepatobiliar y Trasplante Hepático, Hospital Universitario Cruces, Bilbao, Universidad del País Vasco UPV-EHU, Spain.
Unidad de Cirugía Hepatobiliopancreática, Hospital Universitario del Mar, Barcelona, Spain.
Cir Esp (Engl Ed). 2021 Jun-Jul;99(6):450-456. doi: 10.1016/j.cireng.2021.05.009. Epub 2021 May 28.
The COVID-19 pandemic has had a significant impact on Spanish hospitals, which have had to allocate all available resources to treat these patients, reducing the ability to attend other common pathologies. The aim of this study is to analyze how the treatment of acute appendicitis has been affected.
A national descriptive study was carried out by an online voluntary specific questionnaire with Google Drive™ distributed by email by the Spanish Association of Surgeons (AEC) to all affiliated surgeons currently working in Spain (5203), opened from April 14th to April 24th.
We received 337 responses from 170 centers. During the first month of the pandemic, the incidence of acute appendicitis decreased. Although conservative management increased, the surgical option has been the most used in both simple and complicated appendicitis. Despite the fact that the laparoscopic approach continues to be the most widely used in our services, the open approach has increased during this pandemic period.
Highlight the contribution of this study in terms of knowledge of the status of the treatment of acute appendicitis during this first month of the pandemic, being able to serve for a better possible organization in future waves of the pandemic and a reorganization of current protocols and management of acute appendicitis in a pandemic situation.
COVID-19 大流行对西班牙医院产生了重大影响，这些医院不得不调配所有可用资源来治疗这些患者，从而降低了治疗其他常见疾病的能力。本研究旨在分析急性阑尾炎的治疗情况如何受到影响。
通过西班牙外科医生协会（AEC）以电子邮件形式向目前在西班牙工作的所有附属外科医生（5203 名）分发了 Google Drive™ 的在线自愿特定问卷，进行了一项全国性描述性研究，该问卷于 4 月 14 日至 4 月 24 日开放。
我们从 170 个中心收到了 337 份回复。在大流行的第一个月，急性阑尾炎的发病率下降。尽管保守治疗有所增加，但在单纯性和复杂性阑尾炎中，手术治疗仍是最常用的方法。尽管腹腔镜方法在我们的服务中仍然是最广泛使用的，但在这一流行期间，开放性方法有所增加。
本研究突出了在了解大流行期间急性阑尾炎治疗状况方面的贡献，这有助于在未来的流行浪潮中更好地组织，并在大流行情况下重新组织当前的急性阑尾炎治疗方案和管理。
