{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:36:33Z","timestamp":1774434993975,"version":"3.50.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T00:00:00Z","timestamp":1601424000000},"content-version":"vor","delay-in-days":91,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003The ongoing coronavirus disease-2019 (COVID-19) pandemic has disrupted health services throughout the world. It has brought in several new challenges to deal with surgical emergencies. Herein, we report two suspected cases of COVID-19 that were operated during this \u201clockdown\u201d period and highlight the protocols we followed and lessons we learned from this situation.<\/jats:p><jats:p>\n          Result\u2003Two patients from \u201cred zones\u201d for COVID-19 pandemic presented with acute abdomen, one a 64-year male, who presented with perforation peritonitis and another, a 57-year male with acute intestinal obstruction due to sigmoid volvulus. They also had associated COVID-19 symptoms. COVID-19 test could not be done at the time of their presentation to the hospital. Patients underwent emergency exploratory laparotomy assuming them to be positive for the infection. Surgical team was donned with full coverall personal protective equipment. Sudden and uncontrolled egression intraperitoneal free gas was avoided, Echelon flex 60 staplers were used to resect the volvulus without allowing the gas from the volvulus to escape; mesocolon was divided using vascular reload of the stapler, no electrosurgical devices were used to avoid the aerosolization of viral particles. Colostomy was done in both the patients. Both the patients turned out to be negative for COVID-19 subsequently and discharged from hospital in stable condition.<\/jats:p><jats:p>\n          Conclusion\u2003Surgeons need to adapt to safely execute emergency surgical procedures during this period of COVID-19 pandemic. Preparedness is of paramount importance. Full precautionary measures should be taken when dealing with any suspected case.<\/jats:p>","DOI":"10.1055\/s-0040-1716335","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T22:56:20Z","timestamp":1601506580000},"page":"e167-e170","source":"Crossref","is-referenced-by-count":3,"title":["Emergency Surgery during COVID-19: Lessons Learned"],"prefix":"10.1055","volume":"06","author":[{"given":"Hemanga K.","family":"Bhattacharjee","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shafneed","family":"Chaliyadan","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eshan","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keerthi","family":"Kumaran","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priyank","family":"Bhargava","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhishek","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Souvik","family":"Maitra","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajinder","family":"Parshad","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,9,30]]},"reference":[{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/S2213-2600(20)30165-X","article-title":"Understanding pathways to death in patients with COVID-19","volume":"8","author":"J-L Vincent","year":"2020","journal-title":"Lancet Respir Med"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"1518","DOI":"10.1053\/j.gastro.2020.02.054","article-title":"COVID-19: gastrointestinal manifestations and potential fecal-oral transmission","volume":"158","author":"J Gu","year":"2020","journal-title":"Gastroenterology"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1016\/S0140-6736(20)30938-7","article-title":"India under COVID-19 lockdown","volume":"395","author":"T Lancet","year":"2020","journal-title":"Lancet"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1308\/rcsann.2020.0097","article-title":"Emergency surgery during the COVID-19 pandemic: what you need to know for practice","volume":"102","author":"B De Simone","year":"2020","journal-title":"Ann R Coll Surg Engl"},{"key":"ref6","volume-title":"SAGES and EAES recommendations regarding surgical response to COVID-19 crisis","year":"2020"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1111\/codi.15056","article-title":"Coronavirus pandemic and colorectal surgery: practical advice based on the Italian experience","volume":"22","author":"S Di Saverio","year":"2020","journal-title":"Colorectal Dis"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1016\/j.jamcollsurg.2020.03.030","article-title":"Precautions for operating room team members during the COVID-19 pandemic","volume":"230","author":"J D Forrester","year":"2020","journal-title":"J Am Coll Surg"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1089\/lap.2020.0266","article-title":"Perioperative considerations during emergency general surgery in the era of COVID-19: a U.S. experience","volume":"30","author":"G Orthopoulos","year":"2020","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1002\/jmv.25742","article-title":"Fecal specimen diagnosis 2019 novel coronavirus-infected pneumonia","volume":"92","author":"J Zhang","year":"2020","journal-title":"J Med Virol"},{"issue":"12","key":"ref14","first-page":"857","article-title":"Detecting hepatitis B virus in surgical smoke emitted during laparoscopic surgery","volume":"73","author":"H D Kwak","year":"2016","journal-title":"Occup Environ Med"},{"issue":"01","key":"ref15","first-page":"114","article-title":"Human papillomavirus DNA in CO2 laser-generated plume of smoke and its consequences to the surgeon","volume":"75","author":"A Ferenczy","year":"1990","journal-title":"Obstet Gynecol"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s00403-010-1119-3","article-title":"Low risk of contamination with human papilloma virus during treatment of Condylomata acuminata with multilayer argon plasma coagulation and CO2 laser ablation","volume":"303","author":"G H Weyandt","year":"2011","journal-title":"Arch Dermatol Res"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003926","article-title":"Protecting surgical teams during the COVID-19 outbreak: a narrative review and clinical considerations","author":"G A Brat","year":"2020","journal-title":"Ann Surg"},{"issue":"07","key":"ref18","doi-asserted-by":"crossref","first-page":"1686","DOI":"10.1007\/s11605-020-04592-9","article-title":"What is the appropriate use of laparoscopy over open procedures in the current COVID-19 climate?","volume":"24","author":"Y Vigneswaran","year":"2020","journal-title":"J Gastrointest Surg"},{"key":"ref19","volume-title":"Updated intercollegiate general surgery guidance on COVID-19"},{"issue":"04","key":"ref20","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1089\/lap.2020.0197","article-title":"Perspectives on pediatric appendicitis and appendectomy during the severe acute respiratory syndrome coronavirus 2 pandemic","volume":"30","author":"S F Polites","year":"2020","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"02","key":"ref21","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jpedsurg.2011.11.024","article-title":"A prospective study of safety and satisfaction with same-day discharge after laparoscopic appendectomy for acute appendicitis","volume":"47","author":"F Alkhoury","year":"2012","journal-title":"J Pediatr Surg"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1716335.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T23:36:30Z","timestamp":1603323390000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1716335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":17,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2020,9,10]]},"published-print":{"date-parts":[[2020,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1716335","relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"value":"2378-5128","type":"print"},{"value":"2378-5136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}