Sridhar Rajeevan Philip, Titus D K, Surendran Suraj, George Ajith John, Sam Thomas Shawn, Yacob Myla, Roopavathana Beulah, Chase Suchita
Department of General Surgery, Christian Medical College, Vellore 632004, Tamil Nadu, India.
Natl Med J India. 2022 Jul-Aug;35(4):197-200. doi: 10.25259/NMJI_219_22.
Background Planned elective surgery had to be postponed for a large number of patients who tested positive for Covid-19 in the preoperative period. We aimed to assess the postoperative outcomes of patients who were operated on for elective indications, following recovery from Covid-19 infection. Methods We did a retrospective study of patients who underwent elective general surgery between 1 April 2020 and 31 March 2021, following recovery from Covid-19. The 30-day postoperative morbidity and mortality were analysed. The data relevant for the study were retrieved from the hospital's electronic medical records. Results Of the 109 patients included, 54.1% were women and the median (range) age was 49 (16-76) years; 53.2% of operations were performed for benign indications and the rest were for malignancies. Eighty-five (78%) patients underwent surgery following recovery from an asymptomatic Covid-19 infection and 23 (21.1%) patients following recovery from mild Covid-19 infection; 73.3% of the operations were performed following a planned delay of 2- 5 weeks from the diagnosis of Covid-19. The 30-day major postoperative morbidity (Clavien-Dindo grade ≥3) was 6.4%, the postoperative pulmonary morbidity was 0.9%, and there was no 30-day mortality. Conclusions Elective general surgical procedures can be done safely in patients who have recovered from asymptomatic and mild Covid-19 infection, following a minimum wait period of 2 weeks.
大量术前新冠病毒检测呈阳性的患者不得不推迟计划中的择期手术。我们旨在评估新冠病毒感染康复后接受择期手术的患者的术后结局。方法：我们对2020年4月1日至2021年3月31日期间新冠病毒康复后接受择期普通外科手术的患者进行了一项回顾性研究。分析了术后30天的发病率和死亡率。与该研究相关的数据从医院的电子病历中获取。结果：纳入的109例患者中，54.1%为女性，中位（范围）年龄为49（16 - 76）岁；53.2%的手术是针对良性指征进行的，其余是针对恶性肿瘤。85例（78%）患者在无症状新冠病毒感染康复后接受手术，23例（21.1%）患者在轻度新冠病毒感染康复后接受手术；73.3%的手术在新冠病毒诊断后计划推迟2至5周后进行。术后30天主要发病率（Clavien-Dindo分级≥3）为6.4%，术后肺部发病率为0.9%，且无30天死亡率。结论：在无症状和轻度新冠病毒感染康复的患者中，等待至少2周后，可以安全地进行择期普通外科手术。
