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Langenbeck's Archives of Surgery

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01-05-2020 | Laparoscopy | Original Article

COVID-19 not detected in peritoneal fluid: a case of laparoscopic appendicectomy for acute appendicitis in a COVID-19-infected patient

Authors: Sabrina Hui-Na Ngaserin, Frederick H. Koh, Biauw-Chi Ong, Min-Hoe Chew

Published in: Langenbeck's Archives of Surgery | Issue 3/2020

Abstract

Purpose

COVID-19 greatly affected millions and affected the way we practice with heightened posture in the way we treat surgical patients. Surgical consensus guidelines are recommending caution in the use of laparoscopy for the theoretical possibility of viral transmission from aerosolization of tissue and peritoneal fluid during surgery. However, there has yet to be proof of COVID-19 being present in peritoneal fluid, justifying the consensus statements. We aim to assess the presence of COVID-19 in peritoneal fluid.

Methods

We performed a laparoscopic appendicectomy for a COVID-19-infected patient with acute appendicitis. Peritoneal fluid and peritoneal washings were collected and sent for COVID-19 PCR.

Results

The peritoneal fluid sample collected on entry and at the end of the operation was negative for COVID-19 on PCR. The patient had an uneventful recovery from surgery.

Conclusions

This case revealed that COVID-19 was not detected in peritoneal fluid and peritoneal washings in a patient infected with COVID-19. This study provides novel preliminary data in the investigation of COVID-19 transmission from laparoscopy-related aerosolization.

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Title: COVID-19 not detected in peritoneal fluid: a case of laparoscopic appendicectomy for acute appendicitis in a COVID-19-infected patient
Authors: Sabrina Hui-Na Ngaserin
Frederick H. Koh
Biauw-Chi Ong
Min-Hoe Chew
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keywords: Laparoscopy
Appendicitis
Appendicitis
COVID-19
Polymerase Chain Reaction
Published in: Langenbeck's Archives of Surgery / Issue 3/2020
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-020-01891-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

COVID-19 not detected in peritoneal fluid: a case of laparoscopic appendicectomy for acute appendicitis in a COVID-19-infected patient

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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