Abstract
IMPACT OF COVID 19 PANDEMIC ON PERINEAL INFECTIONS AND ITS MANAGEMENT- PROSPECTIVE STUDY

Deepan Karthick, Vignesh, Raj Mohan, Sathik and J. A. Jayalal*

ABSTRACT

The world is churning through an unprecedented time during this pandemic of COVID-19. All aspects of daily life are impacted with far-reaching implications, especially in most aspects of healthcare with the percolation of the COVID-19 infections .All discipline of medical specialties are also experiencing change of gear in the day to day care. Practice of surgery across the globe experiencing a standstill especially for the elective surgeries as of now. It is become evident and mandatory to look for new algorithm and protocol to carry for the plenty of pending patients who need surgical care. As in addition we need to fight against this highly infectious diseasewe have to bring new protocols and practices in place. Due to this delay in seeking care, the admitted patients with various perianal infective aetiologies are having advanced disease and hence the out come is become worst with more so need of hospital stay. In this study 25 cases presented in our surgical casualties with advanced perianal infections were studied for the type of presentation, treatment offered, outcome, duration of stay etc along with the demographic profile and comorbidities. Perianal abscess, ischiorectal fossa abscess, periurethral abscess and Fournier’s gangrene were included. Out of 25 patients there were 8 cases of Fournier’s gangrene, 9 cases of ischiorectal abscess, 6 perineal abscess and 2 periurethral abscess. In spite of adequate protocol based management protocol, 18 patients recovered, 5 cases expired and 2 patients had delayed recovery with morbidity. As the delay in seeking surgical opinion is the cause for the increased mortality, we recommend all cases must be given awareness on these conditions and motivate the people to get earlier reporting and get appropriate surgical care.

Keywords: COVID 19, Coronavirus, Practice of surgery.


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