Urgent surgical department in multidisciplinary hospital repurposed as infectious hospital for new coronavirus infection (COVID-19)
https://doi.org/10.24884/0042-4625-2020-179-5-11-15
Abstract
Objective. In this paper, we show the work of the emergency surgical department on the example of a large repurposed multidisciplinary hospital, also its necessity even for infectious hospitals not accepting patients with acute surgical pathology.
Methods and Materials. The work of surgical department of Pavlov First Saint Petersburg State Medical University repurposed for COVID-19 patients was analyzed. About 1500 COVID-19 patients were hospitalized during 4-month period.
Results. All patients undergoing surgery were in severe condition (at intensive care unit). Most common surgery in abdomen was diagnostic laparoscopy. Spontaneous bleedings of different localization occurred in these patients, what required endovascular and endoscopic treatment. We observed only Clavien – Dindo 1-degree postoperative complications. Mortality rate was high and amounted to 75 %.
Conclusion. The work of surgical department in an infectious hospital for the treatment of a new coronavirus infection is extremely difficult. An infectious hospital should have a 24-hour diagnostic service (US, CT, MRI). Patients severity and the working conditions necessitate the availability of the trained surgical personnel. Given the high risks of bleedings in patients with COVID-19, it is necessary to have a 24-hour endoscopy and endovascular surgery departments with the ability to perform diagnostic and therapeutic interventions.
About the Authors
A. Yu. KorolkovRussian Federation
Dr. of Sci. (Med.), Chief of the Department of General and Emergency Surgery of the Research Institute of Surgery and Emergency Medicine,
Saint Petersburg
V. M. Teplov
Russian Federation
Cand. of Sci. (Med.), Associate Professor of the Department of Emergency Medical Care and Injury Surgery, Head of the Department of Emergency Medical Care of the Research Institute of Surgery and Emergency Medicine,
Saint Petersburg
D. A. Zaitsev
Russian Federation
Surgeon of the Department of Emergency Surgery of the Research Institute of Surgery and Emergency Medicine,
Saint Petersburg
E. A. Tcebrovskaya
Russian Federation
Assistant of the Department of Emergency Medical Care and Injury Surgery, Emergency Doctor of the Department of Inpatient Emergency Medical Care,
Saint Petersburg
T. O. Nikitina
Russian Federation
Surgeon of the Department of Emergency Surgery of the Research Institute of Surgery and Emergency Medicine,
Saint Petersburg
References
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Review
For citations:
Korolkov A.Yu., Teplov V.M., Zaitsev D.A., Tcebrovskaya E.A., Nikitina T.O. Urgent surgical department in multidisciplinary hospital repurposed as infectious hospital for new coronavirus infection (COVID-19). Grekov's Bulletin of Surgery. 2020;179(5):11-15. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-5-11-15