Publication: A comparative study of abdominal wall hernia surgery before and after the COVID-19 pandemic: Results from a 2-year observational period
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Date
2023-08-01
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Abstract
BACKGROUND: Abdominal wall hernia surgery is among the most common procedures in general
surgery. It is thought that postponing elective hernia surgeries due to the pandemic will increase
emergency presentations of hernias, but different data have been published in the literature.
OBJECTIVE: This study aimed to evaluate the effect of the coronavirus disease 2019 (COVID-19)
pandemic on emergency and elective hernia operations.
MATERIALS AND METHODS: Patients who underwent hernia surgery in the Istanbul Sultanbeyli State
Hospital between March 2018 and March 2022 were retrospectively analyzed. March 11, 2018–March
11, 2020, and March 12, 2020–March 12, 2022, were categorized as prepandemic and pandemic
periods, respectively, and were evaluated as 1-year periods. All abdominal wall hernia operations
performed in the hospital were examined.
RESULTS: A total of 1,644 patients underwent hernia operations. Patients’ ages ranged from 18 to
87 years; the mean age was 47.5±13.6. A total of 1,319 (80%) of patients were men. There was a 50%
decrease in the number of surgeries during the pandemic, but there was no significant increase in
emergency surgeries (P = 0.49). Incisional and ventral hernia procedures declined dramatically over
the COVID-19 pandemic compared with the prepandemic period, whereas inguinal hernia surgeries
increased proportionally (P = 0.002).
CONCLUSIONS: While a decrease was observed in total abdominal hernia surgeries performed
during the COVID-19 pandemic compared with the prepandemic period, no significant increase was
found in emergency abdominal hernia surgeries. Patients with ventral and incisional hernias can be
followed up to be operated on under optimal conditions.
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Tıp, Cerrahi Tıp Bilimleri, Sağlık Bilimleri, Medicine, Surgery Medicine Sciences, Health Sciences, Klinik Tıp (MED), Klinik Tıp, CERRAHİ, Clinical Medicine (MED), CLINICAL MEDICINE, SURGERY, Cerrahi, Surgery, Abdominal hernia, coronavirus, COVID-19, emergency surgery, hernia
Citation
Ergenç M., Uprak T. K., "A comparative study of abdominal wall hernia surgery before and after the COVID-19 pandemic: Results from a 2-year observational period", International Journal of Abdominal Wall and Hernia Surgery, cilt.6, sa.3, ss.171-175, 2023