Abstract
Introduction: COVID-19 has spread all over the world and caused significant changes in healthcare practices. This is why many expert associations have published new guidelines on COVID-19 management. This study aims to investigate whether the COVID-19 pandemic has an effect on Inguinal hernia (IH) emergencies.
Material and Method: A total of 63 patients diagnosed with strangulated/incarcerated inguinal hernia who presented to the emergency surgery department of our hospital between April 2020 and January 2021 during the pandemic (DP) and between April 2019 and January 2020 before the pandemic (BP) were retrospectively analyzed and compared.
Results:There was no statistically significant difference between both groups in terms of demographic characteristics. The comparison of the number of admissions, admission time, anesthesia type, hospital stay, postoperative complications, ASA score, hernia, WBC, and CRP averages showed no statistically significant difference between the groups. Moreover, there was no statistically significant difference between the two groups in terms of distributions of hernia types, hernia repair types, mesh use, and additional resection requirement. The comparison of the patients who underwent organ resection by admission time in both groups showed no statistically significant difference. It was observed that the number of patients who required small bowel resection were especially high on the 4th day. In DP, small bowel resection was performed on 4 (66.7%) patients and omentectomy was performed in 2 (33.3%) patients. In BP, only one right hemicolectomy was performed. The comparison of the patients with an admission time of 4th day revealed a statistically significant difference (p=0.03).
Conclusion: We observed that morbidity increased as the admission time was delayed. Anticipating that the fear of COVID-19 infection will hold back the emergency response during the pandemic period, patients should be informed not to delay early diagnosis and treatment.
Keywords
Supporting Institution
none
Thanks
none
References
- Coronavirus Disease (COVID-19) pandemic. https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Accessed Mar 2020.
- Wu F, Zhao S, Yu B, et al. A new corona virus associated with human respiratory disease in China. Nature 2020; 579: 265–9.
- Ren X, Chen B, Hong Y, et al. The challenges in colorectal cancer management during COVID-19 epidemic. Ann Transl Med 2020; 8: 498.
- Hoffmann C. Treatment. In: Kamps BS, Hoffmann C (eds) Covid Reference, Edition 2020-2. Stein Hauser Verlag; Amedeo, Germany; 2020. Website www.covidreference.com. Accessed 12 Apr 2020.
- Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020; 11: 29–4.
- Zheng MH, Boni L, Fingerhut A . Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy. Ann Surg 2020; 272: e5-e6
- Primatesta P, Goldacre MJ . Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol 1996; 25: 835–9
- Rodríguez-Cuéllar E, Villeta R, Ruiz P. National project for the management of clinical processes. Surgical treatment of inguinal hernia. Cir Esp 2005; 77: 195–2
- Góngora-Gómez, EM. Strangulated inguinal hernia. Cirugia Y Cirujanos 2012; 80: 357-7.
- Ohene-Yeboah M, Dally CK. Strangulated inguinal hernia in adult males in Kumasi. Ghana Med J 2014; 48: 101-5.
- The Hernia Surge Group, Simons MP, Smietanski M. et al. International guidelines for groin hernia management. Hernia 2018; 22: 1–165.
- Orchard MR, Wright JA, Kelly A, et al .The impact of healthcare rationing on elective and emergency hernia repair. Hernia 2016; 20: 405–9.
- Köckerling F, Köckerling D, Schug-Pass C. Elective hernia surgery cancellation due to the COVID-19 pandemic. Hernia 2020; 24: 1143-5.
- D'Urbano F, Fabbri N, Koleva Radica M, et al. Emergency surgery in COVID-19 outbreak: Has anything changed? Single center experience. World J Clin Cases 2020; 8: 3691-6.
- Martellucci J, Damigella A, Bergamini C, et al. Emergency surgery in the time of Coronavirus: the pandemic effect. Minerva Chir 2020; 10.23736/S0026-4733.20.08545-4.
- Alp E, Bijl D, Bleichrodt RP, et al. Surgical smoke and infection control. J Hosp Infect 2006; 62: 1–5.
- Muysoms F, Pawlak M, Reinpold W, et al. European Hernia Society (EHS) guidance for the management of adult patients with a hernia during the COVID-19 pandemic. Hernia 2020; 24: 977-3.
- Lima DL, Pereira X, Dos Santos DC, Camacho D, Malcher F. Where are the hernias? A paradoxical decrease in emergency hernia surgery during COVID-19 pandemic. Hernia 2020; 24: 1141-2.
- Stabilini, C, East B, Fortelny R, et al. European Hernia Society (EHS) guidance for the management of adult patients with a hernia during the COVID-19 pandemic. Hernia 2020; 24: 977-3.
Abstract
References
- Coronavirus Disease (COVID-19) pandemic. https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Accessed Mar 2020.
- Wu F, Zhao S, Yu B, et al. A new corona virus associated with human respiratory disease in China. Nature 2020; 579: 265–9.
- Ren X, Chen B, Hong Y, et al. The challenges in colorectal cancer management during COVID-19 epidemic. Ann Transl Med 2020; 8: 498.
- Hoffmann C. Treatment. In: Kamps BS, Hoffmann C (eds) Covid Reference, Edition 2020-2. Stein Hauser Verlag; Amedeo, Germany; 2020. Website www.covidreference.com. Accessed 12 Apr 2020.
- Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020; 11: 29–4.
- Zheng MH, Boni L, Fingerhut A . Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy. Ann Surg 2020; 272: e5-e6
- Primatesta P, Goldacre MJ . Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol 1996; 25: 835–9
- Rodríguez-Cuéllar E, Villeta R, Ruiz P. National project for the management of clinical processes. Surgical treatment of inguinal hernia. Cir Esp 2005; 77: 195–2
- Góngora-Gómez, EM. Strangulated inguinal hernia. Cirugia Y Cirujanos 2012; 80: 357-7.
- Ohene-Yeboah M, Dally CK. Strangulated inguinal hernia in adult males in Kumasi. Ghana Med J 2014; 48: 101-5.
- The Hernia Surge Group, Simons MP, Smietanski M. et al. International guidelines for groin hernia management. Hernia 2018; 22: 1–165.
- Orchard MR, Wright JA, Kelly A, et al .The impact of healthcare rationing on elective and emergency hernia repair. Hernia 2016; 20: 405–9.
- Köckerling F, Köckerling D, Schug-Pass C. Elective hernia surgery cancellation due to the COVID-19 pandemic. Hernia 2020; 24: 1143-5.
- D'Urbano F, Fabbri N, Koleva Radica M, et al. Emergency surgery in COVID-19 outbreak: Has anything changed? Single center experience. World J Clin Cases 2020; 8: 3691-6.
- Martellucci J, Damigella A, Bergamini C, et al. Emergency surgery in the time of Coronavirus: the pandemic effect. Minerva Chir 2020; 10.23736/S0026-4733.20.08545-4.
- Alp E, Bijl D, Bleichrodt RP, et al. Surgical smoke and infection control. J Hosp Infect 2006; 62: 1–5.
- Muysoms F, Pawlak M, Reinpold W, et al. European Hernia Society (EHS) guidance for the management of adult patients with a hernia during the COVID-19 pandemic. Hernia 2020; 24: 977-3.
- Lima DL, Pereira X, Dos Santos DC, Camacho D, Malcher F. Where are the hernias? A paradoxical decrease in emergency hernia surgery during COVID-19 pandemic. Hernia 2020; 24: 1141-2.
- Stabilini, C, East B, Fortelny R, et al. European Hernia Society (EHS) guidance for the management of adult patients with a hernia during the COVID-19 pandemic. Hernia 2020; 24: 977-3.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Article |
| Authors | |
| Publication Date | September 24, 2021 |
| Published in Issue | Year 2021 Volume: 4 Issue: 6 |
Cited By
Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS].
The Directories (indexes) and Platforms we are included in are at the bottom of the page.
Note: Our journal is not WOS indexed and therefore is not classified as Q.
You can download Council of Higher Education (CoHG) [Yüksek Öğretim Kurumu (YÖK)] Criteria) decisions about predatory/questionable journals and the author's clarification text and journal charge policy from your browser. https://dergipark.org.tr/tr/journal/2316/file/4905/show
The indexes of the journal are ULAKBİM TR Dizin, Index Copernicus, ICI World of Journals, DOAJ, Directory of Research Journals Indexing (DRJI), General Impact Factor, ASOS Index, WorldCat (OCLC), MIAR, EuroPub, OpenAIRE, Türkiye Citation Index, Türk Medline Index, InfoBase Index, Scilit, etc.
|
|
|
| |
|
|
|
|
The platforms of the journal are Google Scholar, CrossRef (DOI), ResearchBib, Open Access, COPE, ICMJE, NCBI, ORCID, Creative Commons, etc.
|
|
|
|
|
|
Our Journal using the DergiPark system indexed are;
Ulakbim TR Dizin, Index Copernicus, ICI World of Journals, Directory of Research Journals Indexing (DRJI), General Impact Factor, ASOS Index, OpenAIRE, MIAR, EuroPub, WorldCat (OCLC), DOAJ, Türkiye Citation Index, Türk Medline Index, InfoBase Index
Our Journal using the DergiPark system platforms are;
Journal articles are evaluated as "Double-Blind Peer Review".
Our journal has adopted the Open Access Policy and articles in JHSM are Open Access and fully comply with Open Access instructions. All articles in the system can be accessed and read without a journal user. https//dergipark.org.tr/tr/pub/jhsm/page/9535
Journal charge policy https://dergipark.org.tr/tr/pub/jhsm/page/10912
Editor List for 2022
Assoc. Prof. Alpaslan TANOĞLU (MD)
Prof. Aydın ÇİFCİ (MD)
Prof. İbrahim Celalaettin HAZNEDAROĞLU (MD)
Prof. Murat KEKİLLİ (MD)
Prof. Yavuz BEYAZIT (MD)
Prof. Ekrem ÜNAL (MD)
Prof. Ahmet EKEN (MD)
Assoc. Prof. Ercan YUVANÇ (MD)
Assoc. Prof. Bekir UÇAN (MD)
Assoc. Prof. Mehmet Sinan DAL (MD)
Our journal has been indexed in DOAJ as of May 18, 2020.
Our journal has been indexed in TR-Dizin as of March 12, 2021.
Articles published in the Journal of Health Sciences and Medicine have open access and are licensed under the Creative Commons CC BY-NC-ND 4.0 International License.