SARS-CoV-2 during Abdominal Operations: Are Surgeons at Risk?

Gustavo Romero-Velez, Jorge H. Rodriguez Quintero, Xavier Pereira, Jeffrey E. Nussbaum, John C. McAuliffe

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The safety of surgery in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-positive patients remains unclear. On the basis of data from other viral diseases, it has been assumed that coronavirus disease 2019 (COVID-19) has the potential risk of transmission during surgery. The presence of the virus within the peritoneal fluid and the peritoneal tissues is not known. Materials and Methods: This is a prospective cross-sectional study including adult patients with confirmed COVID-19 who underwent surgery at a single institution. Using specific real-time reverse transcriptase-polymerase chain reaction, the presence of SARS-CoV-2 was determined in abdominal fluid samples. Results: Six patients with COVID-19 underwent abdominal surgery. Five patients were asymptomatic, and 1 had severe disease. SARS-CoV-2 was tested in 20 different samples, all of which resulted negative. Conclusions: SARS-CoV-2 was not found in the peritoneal cavity of 6 patients undergoing abdominal surgery. The risk of transmissibility of COVID-19 during surgery is still unclear.

Original languageEnglish (US)
Pages (from-to)674-678
Number of pages5
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume31
Issue number6
DOIs
StatePublished - Dec 29 2021

Keywords

  • coronavirus
  • COVID-19
  • general surgery
  • laparoscopy
  • SARS-CoV-2

ASJC Scopus subject areas

  • Surgery

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