Analysis of operation procedure and effect for emergency surgery in general hospital during novel coronavirus pneumonia
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RESEARCH ARTICLE
Open Access
Analysis of operation procedure and effect for emergency surgery in general hospital during novel coronavirus pneumonia period Yuchen Liu, Minggang Wang* , Yingmo Shen and Jie Chen
Abstract Background: Novel coronavirus pneumonia (NCP) outbreak in Wuhan, China in early 2020, resulted in over 80 thousand infections in China. At present, NCP has an explosive growth in the world. Surgeons could refuse selective operation during the outbreak, but they must face the emergency operation. We hope to avoid the spread of NCP while ensuring efficient treatment of emergency cases. Methods: The data of patients with incarcerated hernia admitted to Beijing Chaoyang Hospital during NCP epidemic were analyzed and compared with those in 2019. All cases were divided into NCP group and 2019 group. The operation data and inpatient protection process of emergency cases were analyzed. Result During the NCP epidemic, 17 cases with incarcerated hernia were treated in our department. A Total of 263 cases of the same disease were admitted in 2019. There was no significant difference in age, gender, BMI and hernia type between two groups. No significant difference was observed between the two groups in operation method and hospital stay. The waiting time for emergency operation of NCP group was significantly longer than that of 2019 group (P = 0.002). A buffer ward was set up by administrator of hospital during NCP outbreak. Hospitals were divided into “Red area, Yellow area and Green area” artificially, and strict screening consultation system was implemented. There was no case of SARS-nCoV-2 infection in medical staff. Conclusion: It was safe and effective to carry out emergency operation on the premise of screening, protection and isolation during the NCP epidemic. The increased waiting time for operation due to NCP screening did not threaten medical safety of emergency incarcerated hernia patients. Keywords: COVID-19, Pneumonia;hernia, Incarceration, Emergency operation
Background In December 2019, several cases of viral pneumonia occurred in Wuhan of China, and a large-scale outbreak occurred in China in a short period of time [1]. The novel coronavirus was named by WHO as 2019 new * Correspondence: [email protected] Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100043, People’s Republic of China
coronavirus (SARS-nCov-2), or novel coronavirus pneumonia (NCP) in January 2020 [2]. As of March 15th, 2020, more than 80,000 NCP cases have been confirmed, according to Chinese officials. But it was gratifying that the epidemic situation in China has been fundamentally improved. The number of confirmed cases decreased significantly, and most of them were imported cases. At present, NCP outbreaks have occurred in many countries and regions around the world [3]. Many countries
© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distributi
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