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Original Article

Hepatopancreaticobiliary injuries during the COVID-19 pandemic

Murat Derebey, Mahmut Arif Yuksek

Abstract

The purpose of this study was to evaluate the results of conservatively or surgically treated patients with hepatopancreaticobiliary (HPB) injuries during the novel coronavirus (COVID-19) pandemic. The medical records of 360 patients who were asked for consultation from the emergency department between March 11, 2020 and March 31, 2021 and evaluated by a single surgeon during this period were retrospectively reviewed. Twenty-three patients with HPB injuries were included in the study. Blunt abdominal trauma (47.8%) was the most common etiology of HPB injuries and the most frequently affected organ was the liver (69.6%). Eleven (47.8%) of the patients with HPB injuries were operated and 12 (52.2%) were followed conservatively. The hemoglobin value was significantly lower in the operated group (p<0.05). The World Society of Emergency Surgery (WSES) stage IV liver trauma was higher in the operated group. All of the ERCP-related perforations were Stapfer Type 4 and only one patient required surgery. Only 1 (4.3%) patients was COVID-19 positive at the time of first admission. No patients contracted COVID-19 during the hospitalization. Morbidity rate was 26.1% and mortality rate was 8.7% after HPB injury. Further studies are needed to reveal the relationship between HPB surgery and COVID-19 pandemic. We would like to emphasize that compliance with isolation conditions and vaccination are very important for both patients and us healthcare professionals.

Key words: COVID-19 pandemic, hepatopancreaticobiliary injury, emergency surgery

Med-Science. 2021; 10(4): 1392-7
Medicine Science Vol:10 Issue:4 Year:2021 PP:1087-1567
Posted in Vol: 10 Issue: 4 Year: 2021 December pp: 1087-1567

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