Impact of Covid-19 pandemic on general surgery

Öz

The covid 19 pandemic has caused major health problems all over the world. In addition to the mortality and morbidity experienced due to people being infected, the filiation measures taken throughout the pandemic have also caused disruptions in healthcare, especially surgical interventions. In our study, we aimed to retrospectively evaluate the effects of the pandemic in the general surgery service. Outpatient clinic and operating room data from 2018 were compared with data from 2021. Information about the patients was accessed from the hospital information system. Emergency surgeries were excluded from the study. During 2018, 50632 patients applied to the outpatient clinic, but we saw that this number decreased to 34629 in 2021. While the average age of patients who applied to the outpatient clinic in 2018 was 43.23±16.26, it was 45.7±17.94 in 2021 and was statistically significant (p<0.001). The number of electively operated patients was 1806 in 2018 and 757 in 2021. Considering the average age, the average age of the patients operated on in 2021 was significantly higher than the patients operated on in 2018 (p = 0.046). Due to the Covid 19 pandemic, services were reserved for Covid patients, elective operations had to be postponed, and surgeons and auxiliary healthcare personnel had to work in these services, which caused the delay in elective operations, thus causing disruptions in healthcare.

Anahtar Kelimeler

• covid 19
• pandemic
• general surgery

Kaynakça

1. 1. Organization WH. Coronavirus disease (Covid-19), 12 October 2020. 2020. Awailable at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
2. 2. Diaz A, Sarac BA, Schoenbrunner AR, Janis JE, Pawlik TM. Elective surgery in the time of Covid-19. The Am J Surgery. 2020;219(6):900-2.
3. 3. Moletta L, Pierobon ES, Capovilla G, Costantini M, Salvador R, Merigliano S, et al. International guidelines and recommendations for surgery during Covid-19 pandemic: a systematic review. International Journal of Surgery. 2020;79:180-8.
4. 4. Öztürk O, Bayraktar D. Pandemilerin şafağında: Covid-19 ve fiziksel inaktivite. İzmir Katip Çelebi Üniversi-tesi Sağlık Bilimleri Fakültesi Dergisi. 2020;5(2):143-6.
5. 5. Gao X, Jiang L, Hu Y, Li L, Hou L. Nurses’ experiences regarding shift patterns in isolation wards during the COVID‐19 pandemic in China: A qualitative study. Journal of clinical nursing. 2020;29(21-22):4270-80.
6. 6. Worldometer CU. Cases and deaths from Covid-19 virus pandemic. Worldometers; 2020.
7. 7. Çelik SU, Çetinkaya Ö, Tüzüner A. Cerrahi ve Covid-19. Gülhane Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Temmuz, Ankara, Türkiye. 2020.
8. 8. TC Sağlık Bakanlığı, COVID-19 Bilgilendirme Platformu. Available from: https://covid19bilgi.saglik.gov.tr/depo/rehberler/ COVID-19_Rehberi.pdf?type=file

9. 9. Brücher BL, Nigri G, Andrea T, Florencio J, Lapeña Jr F, Eloy E-B, et al. Covid-19. Pandemic surgery guidan-ce. 4 OPEN. 2020;3:1-19.
10. 10. Kibbe MR. Surgery and Covid-19. Jama. 2020;324(12):1151-2.
11. 11. Bozkurt O, Sen V, Irer B, Sagnak L, Onal B, Tanidir Y, et al. Nation‐wide analysis of the impact of Covid‐19 pandemic on daily urology practice in Turkey. International Journal of Clinical Practice. 2021;75(4):e13735.
12. 12. Yılmaz EM, Şekerci UU, Özgün H, Çolak T. Effects of the Covid-19 pandemic on general surgery training in Turkey. Turk J Colorectal Dis. 2021;31(1):13-9.
13. 13. Kulle CB, Azamat IF, Vatansever D, Erus S, Tarim K, Akyoldas G, et al. Is elective cancer surgery feasible during the lock‐down period of the Covid‐19 pandemic? Analysis of a single institutional experience of 404 consecutive patients. Journal of Surgical Oncology. 2021;123(7):1495-503.
14. 14. Ferahman S, Donmez T, Surek A, Akarsu C, Aydin H, Seyit H, et al. The effect of Covid-19 pandemic on the functioning of a surgical clinic: single centre experience in Turkey. Sanamed. 2021;16(1):19-27.
15. 15. Dündar G, Abdullah G. Effects of the Covid-19 Pandemic on Surgical Clinics. Çukurova Anestezi ve Cerrahi Bilimler Dergisi. 2021;5(2):155-71.
16. 16. Topcu R, Yıldırım MB, Özkan MB, Aslan O, Sezikli İ, Şahin F. The effect of Covid-19 pandemic on inguinal hernia emergencies. Journal of Health Sciences and Medicine. 2021;4(6):865-70.
17. 17. Şengül S, Çalış H, Güler Y, Karabulut Z. The impact of Covıd-19 pandemic on symptomatic gallstone disea-se. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2021;23(3):462-7.