To assess variations in the frequency, clinical manifestations, and surgical techniques of appendectomies conducted during the COVID-19 lockdown in relation to a pre-pandemic timeframe, highlighting the significance of timely medical intervention.
Key Findings:
19.4% of patients during the pandemic had a perforated appendix compared to 9.3% pre-pandemic (p = 0.045, OR = 2.46), indicating a significant increase in complications.
Overall appendectomy count decreased significantly during the pandemic (p < 0.001), suggesting reduced access to care.
The proportion of open appendectomies increased during the lockdown, reflecting changes in surgical practice.
Interpretation:
The COVID-19 lockdown was associated with a higher incidence of complicated appendicitis and a decrease in overall appendectomy cases, suggesting delayed patient presentations possibly due to fear of seeking care and a reduction in milder cases.
Limitations:
Single-center study may limit generalizability.
Retrospective design may introduce selection bias.
Impact of the pandemic on patient behavior and healthcare access may not be fully captured.
Conclusion:
The COVID-19 lockdown led to increased rates of perforated appendicitis and changes in surgical approaches, underscoring the critical importance of timely medical care to prevent complications.
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