Laparoscopic appendectomy in a postcovid period

V. V.  Mіshchenko; P. І.  Pustovoit; R. Yu.  Vododiuk; V. V.  Velichko

doi:10.26779/2522-1396.2021.7-8.11

V. V. Mіshchenko Odessa National Medical University https://orcid.org/0000-0002-5951-3463
P. І. Pustovoit Odessa Regional Clinical Hospital https://orcid.org/0000-0002-5515-5638
R. Yu. Vododiuk Odessa National Medical University https://orcid.org/0000-0002-6089-8612
V. V. Velichko Odessa National Medical University https://orcid.org/0000-0001-7253-3090

DOI: https://doi.org/10.26779/2522-1396.2021.7-8.11

Keywords: laparoscopic appendectomy, postcovid period

Abstract

Objective. Determination of the role and place of laparoscopic appendectomy in a postcovid period.

Materials and methods. Laparoscopic appendectomy was performed in 73 patients, who have carried COVID–19. The Alvarado Scale was applied for verification of an acute appendicitis diagnosis.

Results. The term of establishing of an acute appendicitis diagnosis in 87.7% of patients have constituted 6 h and more, while the term of preoperative observation – (12.7 ± 3.1) yr. Phlegmonous form of inflammation of processus vermiformis have constituted 61.4% of cases. Antibodies IgMSARSCov–2 (COVID–19) and IgGSARSCov–2 (COVID–19) were revealed in 100% of patients, suffering an acute appendicitis. Thus, laparoscopic appendectomy in the patients, who have carried COVID–19, is secure.

Conclusion. The acute appendicitis course in the patients, who have carried COVID–19, owed certain clinical peculiarities. Diagnosis of an acute appendicitis in such patients must be rapid and precise. Appendectomy in patients in a postcovid period must be performed before the development of an acute appendicitis complications. Laparoscopic appendectomy in patients, who have carried COVID–19, must become a «gold standard» of operations in an acute appendicitis.

Author Biographies

V. V. Mіshchenko, Odessa National Medical University

Mishchenko Vasyl Vasyliovych, MD, DSci(Med), Professor,
Professor of the Department of Surgery No. 1,
Odessa National Medical University.
33 Knyazheska str., apt. 7, 65023Odessa, Ukraine
0677496758.
mischenko_vasil@i.ua
https://orcid.org/0000–0002–5951–3463.

P. І. Pustovoit, Odessa Regional Clinical Hospital

Pustovoit Petro Ivanovych, MD, PhD(Med), Associate Professor,
Head of the Department of Invasive Methods of Diagnosis and Treatment
Odessa Regional Clinical Hospital,
16 Limanna str, 65013, Odessa, Ukraine
0674806996,
peterpustovoit@gmail.com
https://orcid.org/0000–0002–5515–5638

R. Yu. Vododiuk, Odessa National Medical University

Vododiuk Roman Yuriyovych, MD, PhD(Med), Assistant
Department of Surgery No. 1,
Odessa National Medical University.

34 Ivan and Yuri Lip str., apt. 5065078, Odessa, Urraine
0677186863
vododuk_r@ukr.net
https://orcid.org/0000–0002–6089–8612

V. V. Velichko, Odessa National Medical University

Velichko Vladyslav Valeriyovych, PhD(Med), Assistant
Department of Surgery No. 1,
Odessa National Medical University.
Address: 64 Odesa Str., 65025. Odessa region, Odessa district, village Fontanka,
0505755783
vlvelichko13@gmail.com
https://orcid.org/0000–0001–7253–3090

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