SURGICAL COMPLICATIONS IN PATIENTS WITH COVID-19

Abstract

Summary. Aim. To analyze the frequency and nature of surgical complications in patients with COVID-19. Materials and methods. A retrospective analysis of 49 medical records of inpatients hospitalized in the The Regional Children`s Infectious Diseases Clinical Hospital for the 2021 year, in which various surgical complications were diagnosed during treatment, was conducted. Research results. Patients were divided into groups depending on the degree of severity according to the MuLBSTA Score for Viral Pneumonia scale: average degree of severity 10 - 15 points — 20 (40.8%) patients; severe degree more than 15 points — 29 (59.2%). On 9.0±2.5 days after hospitalization, surgical complications were clinically and instrumentally diagnosed in patients with an average degree of severity: abdominal ischemic syndrome — 6 (12.2%); acute gastrointestinal bleeding — 4 (8.2%); hemorrhoidal bleeding — 3 (6.1%); acute cholecystitis — 3 (6.1%); acute pancreatitis — 2 (4.1%); acute intestinal adhesion impassability — 1 (2%); entrapment of the hernia of the anterior abdominal wall — 1 (2%). On 6.0±1.3 days after hospitalization, surgical complications were clinically and instrumentally diagnosed in patients with a severe degree: acute gastrointestinal bleeding — 9 (18.7%), acute thromboembolism of vessels of the lower extremities — 6 (12.2%); total hydrothorax — 6 (12.2%); mesenteric thrombosis — 3 (6.1%); pneumothorax — 3 (6.1%); peritonitis (perforation of ulcer or diverticulum) — 2 (4.1%). Conclusion. Surgical complications in patients with COVID-19 are more common with a severe course of the disease and manifest on the 7.5±1.5 day of treatment, due to combined pathogenesis.