Clinical outcomes of HPB surgical patients during COVID-19 pandemic

Authors

  • Faisal Hanif Department of HPB & Liver Transplant, Bahria International Hospital Orchard, Lahore, Pakistan
  • Muhammad Haroon Department of HPB & Liver Transplant, Bahria International Hospital Orchard, Lahore, Pakistan
  • Muhammad Imran Khan Department of HPB & Liver Transplant, Bahria International Hospital Orchard, Lahore, Pakistan
  • Muhammad Atiq Department of HPB & Liver Transplant, Bahria International Hospital Orchard, Lahore, Pakistan
  • Ahmed Raza Department of Radiology, Bahria International Hospital, Lahore, Pakistan
  • Shazia Asim Department of Radiology, Bahria International Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.47391/JPMA.4290

Abstract

Objective: To determine the outcome of hepato-pancreato-biliary patients who were operated upon during the pandemic under a safety protocol devised to minimise the risk of coronavirus disease-2019 infection in patients and staff during the perioperative period.

Methods: The retrospective study was conducted at the Hepato-Pancreatico-Biliary (HPB) Unit of Bahria International Hospital Orchard, Lahore, Pakistan, in February 2021, and comprised data of all patients who were discussed in the multidisciplinary meeting of the Unit between May 1 and December 31, 2020. The coronavirus disease-2019 screening protocol was a negative polymerase chain reaction test just before admission and a second negative test 24-48 hours pre-surgery. All patients had computed tomography scan of chest to rule out atypical pneumonia due to coronavirus disease-2019 infection. Surgery was deferred for positive patients for at least 2 weeks until their test was negative. Surgeries were carried out with full personal protective equipment. Further testing was carried out if clinically indicated. Data was collected of 30-day coronavirus disease-2019-related morbidity and mortality. Data was analysed using SPSS 20.

Results: Of the 44 patients, 29(65.9%) were males and 15(34.1%) were females. Overall, 32(72.7%) patients were aged >40 years, 8(18.2%) were aged 20-40 years and 4(9%) were aged <20 years. Of the total, 7(15.09%) patients were found to be positive for coronavirus disease-2019 during preoperative screening. Among them, 5(71.4%) had successful surgery post-recovery, 1(14.3%) died without surgery due to pulmonary complications related to coronavirus disease-2019 and 1(14.3%) patient was lost to follow-up.

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Published

2022-09-15

How to Cite

Hanif, F., Muhammad Haroon, Muhammad Imran Khan, Muhammad Atiq, Raza, A., & Asim, S. (2022). Clinical outcomes of HPB surgical patients during COVID-19 pandemic. Journal of the Pakistan Medical Association, 72(10), 2003–2008. https://doi.org/10.47391/JPMA.4290

Issue

Section

Original Article