Emergency orthopaedic surgery in the pandemic era: A case series at Cipto Mangunkusumo national tertiary hospital in Jakarta, Indonesia

Achmad Fauzi Kamal, Wahyu Widodo, Mohamad Walid Kuncoro, I. Wayan Arya Mahendra Karda, Yogi Prabowo, Hadiki Habib, Lies Dina Liastuti, Trimartani, Errol Untung Hutagalung, Ifran Saleh, Singkat Dohar A.L. Tobing, Bambang Gunawan, Ismail Hadisoebroto Dilogo, Andri MT Lubis, Aryadi Kurniawan, Ahmad Jabir Rahyussalim, Ihsan Oesman, Nadia NPPS Ifran, Wildan Latief, Mohammad Triadi WijayaMuhammad Deryl Ivansyah, Muhammad Rizqi Adhi Primaputra, Adisa Yusuf Reksoprodjo, Andra Hendriarto, K. M.Azka Novriandi, Ziad Alaztha, Anissa Feby Canintika, Anita Happy Rahayu Sitanggang

Research output: Contribution to journalShort surveypeer-review

Abstract

Introduction: Every emergency surgery performed is aimed at saving lives; however, during COVID-19 pandemic, surgeries are often postponed. Many existing recommendations take into account postponing surgery during a pandemic. How these surgeries can lead to increasing infection rates has not been widely published. This study aims to investigate the relationship of emergency orthopaedic surgery and the incidence rate of COVID-19. Presentation of case: This was a case series of 14 patients. The study was performed at the emergency department unit at a national tertiary hospital in Jakarta, Indonesia. A total of 14 patients underwent orthopaedic surgery in the emergency room of our institution. The mean age of the subjects was 40.07 ± 20.5 years. Twelve (85.7%) were male patients and 2 (14.3%) were female patients. The average duration of surgery was 125 minutes. The most used type of anaesthesia was general anaesthesia for 6 operations (50%). Patients were hospitalized for an average length of 4 days. Three patients had infiltrates found on plain x-ray examination, which required further examination to determine whether the cause was COVID-19 infection or not. There was no ground glass appearance (GGO) in the three patients in further follow-up examination. Conclusions: We found that emergency orthopaedic surgery was not associated with increasing number of COVID-19 cases. Factors including duration of surgery, length of stay, types of anaesthesia and comorbidities were also not associated with COVID-19 cases in this study.

Original languageEnglish
Pages (from-to)870-874
Number of pages5
JournalInternational Journal of Surgery Case Reports
Volume77
DOIs
Publication statusPublished - Jan 2020

Keywords

  • Case series
  • COVID-19
  • Emergency surgery
  • Orthopaedic

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