فهرست نشریات علمی دسترسی آزاد ایران

Background and Objectives: The COVID-19 pandemic, caused by the SARS-CoV-2, has presented unprecedented challenges to healthcare systems worldwide. This study aims to explore the incidence and outcomes of laparotomy in COVID-19 patients, with a specific focus on those admitted to Shahid Modarres Hospital between 2019 - 2021.   Methods: In this descriptive-analytical study, 50 patients who underwent emergency abdominal surgery at Shahid Modarres Educational and Research Hospital and were either diagnosed with COVID-19 at the time of surgery or during hospitalization were examined for mortality rates and various post-operative complications. The complications assessed included mortality, pulmonary complications, cardiovascular complications, myocardial and cerebral infarction, renal injury, infection, intraoperative and postoperative bleeding, rectus sheath hematoma, thrombosis and pulmonary embolism, and ICU admission and related complications.   Results: The mean age of patients was 56.72 ± 13.28 years, and 66% were male. 52% of the patients were discharged post-surgery, while 48% succumbed to the illness. 56% of the patients were admitted to the ICU, with an average ICU stay of 5.86 ± 7.03 days. The history of underlying disease has a significant relationship with the length of hospital stay (P = 0.005), ICU admission (P < 0.001) and mortality (P < 0.001).   Conclusion: Laparotomy in COVID-19-diagnosed patients is associated with higher mortality and complication rates, especially in those with comorbid pneumonia and a positive medical history. The most common complications observed in these patients were pleural effusion, thrombocytopenia, and acute kidney injury.