Laparoscopic appendectomy in a postcovid period

Abstract

Objective. Determination of the role and place of laparoscopic appendectomy in a postcovid period. Materials and methods. Laparoscopic appendectomy was performed in 73 patients, who have carried COVID–19. The Alvarado Scale was applied for verification of an acute appendicitis diagnosis. Results. The term of establishing of an acute appendicitis diagnosis in 87.7% of patients have constituted 6 h and more, while the term of preoperative observation – (12.7 ± 3.1) yr. Phlegmonous form of inflammation of processus vermiformis have constituted 61.4% of cases. Antibodies IgMSARSCov–2 (COVID–19) and IgGSARSCov–2 (COVID–19) were revealed in 100% of patients, suffering an acute appendicitis. Thus, laparoscopic appendectomy in the patients, who have carried COVID–19, is secure. Conclusion. The acute appendicitis course in the patients, who have carried COVID–19, owed certain clinical peculiarities. Diagnosis of an acute appendicitis in such patients must be rapid and precise. Appendectomy in patients in a postcovid period must be performed before the development of an acute appendicitis complications. Laparoscopic appendectomy in patients, who have carried COVID–19, must become a «gold standard» of operations in an acute appendicitis.