28 million routine surgeries may be cancelled, postponed worldwide due to COVID-19 outbreak, reveals study

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New Delhi: The CovidSurg Collaborative analysis study primarily based on a 12-week interval of peak disruption to hospital companies due to COVID-19 has predicted that round 28 million elective surgeries throughout the globe might be cancelled or postponed because of the coronavirus outbreak. This cancellation or postponement will lead to sufferers going through a prolonged wait for his or her well being points to be resolved. 

Elective surgical procedure means routine surgical procedure which isn’t in want of rapid addressal and the affected person has a while to discover their therapy choices.  

“Owing to COVID-19, cancelling elective surgery at a large scale will have a substantial impact on patients and cumulative, potentially devastating consequences for health systems. Delaying time-sensitive elective operations may lead to deteriorating health, worsening quality of life, and unnecessary deaths,” stated Dr Pradeep Chowbey, Chairman, Max Institute of Minimal Access, Metabolic & Bariatric Surgery, New Delhi. 

He additionally famous, “There is a risk that delayed treatment of benign conditions as a result of pandemic-related cancellations will lead to deterioration in individual patients’ conditions, increasing disability and reducing their ability to work. In the UK, we see, 50% of surgeries are elective and 50% emergency, however in India, 80% of surgeries are done in private care wherein 90% are elective and 10% emergency.” 

Adding additional, Dr Chowbey stated, “We have an interesting case study to share regarding the consequences of delaying the routine (elective) surgery. In the month of January 2020, a female patient, 76, visited our OPD first time and was diagnosed with Abdominal Hysterectomy followed by Multiple Open & Lap Hernia repair and advised for surgical repair, which she ignored. Again, she visited us in May 2020 with symptoms suggestive of obstruction in the Hernia, and she also had signs of strangulation. Stabilization was done in ICU and surgery performed. Post-surgery, the ICU stay was required further.”

“From this case study, it is evident that on account of the ongoing COVID-19 pandemic, management of non-COVID conditions should not be compromised. Especially, in many benign conditions, which can be easily managed by elective surgeries, may present with severe life-threatening complications if ignored at early stages. In this case, an uncomplicated Elective Laparoscopic Hernia Repair transformed into an emergency open repair requiring large segment bowel resection owing to unanticipated delays due to COVID-19,” said Dr Chowbey.

Notably, frequent circumstances like gallbladder stones, hernias or tumours typically worsen and end in extra issues when mandatory surgical procedure is postponed.

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