SARS-Cov-2 was not found in the peritoneal fluid of an asymptomatic patient undergoing laparoscopic appendectomy

Gustavo Romero-Velez, Xavier Pereira, Ariela Zenilman, Diego Camacho

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: The safety of laparoscopic surgery in SARS-CoV-2 positive patients remains unclear. The presence of the virus within peritoneal fluid and the peritoneal tissues is not known. We report an asymptomatic COVID-19 positive patient who underwent laparoscopic appendectomy with negative peritoneal sampling for SARS-CoV-2. Materials and Methods: During a standard 3 port laparoscopic surgery samples peritoneal fluid, peritoneal brushings, and surgical smoke plum were collected. Specific real-time reverse transcriptase-polymerase chain reaction targeting SARS-CoV-2 were used to detect the presence of the virus in the samples. Results: SARS-CoV-2 was not detected on multiple samples of the peritoneum in an asymptomatic patient. Conclusions: SARS-CoV-2 was not found in the peritoneum of a single patient with asymptomatic infection. Further studies comparing SARS-CoV-2 surgical candidates are needed to address safety concerns.

Original languageEnglish (US)
Pages (from-to)E43-E45
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume30
Issue number6
DOIs
StatePublished - Dec 2020

Keywords

  • Appendectomy
  • Appendicitis
  • COVID-19
  • Coronavirus
  • Laparoscopy
  • SARS-Cov-2

ASJC Scopus subject areas

  • Surgery

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