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Abstract
COVID-19 PANDEMIC AND EFFECT OF DELAYED SURGICAL RESPONSE
Dr. Usmani M. S.*, Khatoon A. and Saad A.
ABSTRACT
Objective: To determine the effect of delayed surgical response during COVID19 pandemic. Methodology: This was a case series performed in Hanif hospital Karachi, Pakistan during COVID19 outbreak from 15th March 2020 till 15th May 2020 for two months. The inclusion criteria involved only emergency visceral surgeries, including either gender. The exclusion criteria involved patients with COVID positive reports, bleeding disorders. This was a probability consecutive type sampling. The sample size of the study was n=45. Result: Total 45 cases were enrolled in study. All the patients presented were mostly males i-e; 38 males and 7 females with mean age 38.31±4.38 yrs. Out of 45, Small bowel obstruction with gangrenous loop of ileum secondary to peritoneal band presented in n=4(8.9%) patients, n=9(20%) cases of perforation of appendix, n=15(33.3%) cases of typhoid perforation, n=6 (13.3%) perforated duodenal ulcer, n=9(20%) patient’s perforation of gall bladder, n=2(4.4%) cases were of Internal iliac artery ligation for severe postpartum hemorrhage. Conclusions: Increasing complications with increased morbidity especially during pandemic has affected patients physically and psychologically. Only timely intervention at this time can prevent associated morbidity.
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