The effect of COVID-19 pandemic on inguinal hernia emergencies

Authors : Ramazan TOPCU, Murat Baki YILDIRIM, Murat Bulut ÖZKAN, Orhan ASLAN, İsmail SEZİKLİ, Fatih ŞAHİN

Pages : 865-870

Doi:10.32322/jhsm.975266

View : 24 | Download : 9

Publication Date : 2021-09-24

Article Type : Research Paper

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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(DP); and between April 2019 and January 2020 before the pandemic insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(66.7%); patients and omentectomy was performed in 2 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 : Covid 19 pandemic, emergency, inguinal hernia