World Experience on COVID-19 Patients, Who Had Positive PCR for Nasal Swab and Underwent Surgical Interventions and Peritoneal Fluid Analysis for COVID-19

Abstract

1.1. Aims: Aim of this literature review was to analyse the world experience on COVID-19 patients who underwent surgical intervention. Analyse the status of their peritoneal fluid and the surgical outcome in these COVID-19 patients.
1.2. Methods: Literature review of the published papers was performed over the last two years. The studies involving patients who had COVID -19 confirmed by PCR results of nasopharyngeal swabs and underwent a surgical procedure and had the peritoneal fluid samples examined to detect the presence of the COVID 19 virus.
1.3. Results: Ten papers assessing the COVID-19 in the peritoneal cavity were published, all of them were published in the year 2020. In all these studies total of 18 patients were confirmed COVID-19 on nasopharyngeal PCR and these were Assessed for the detection of the COVID-19 in the peritoneal cavity. Three patients (3/18, 16.6%) have no respiratory symptoms, fifteen (15/18, 83.33%) patients have respiratory symptoms. Seven patients (7/18, 38.8%) had COVID-19 detected in the peritoneum (Table 1), 2.dsa.
1.4. Conclusion: Patients with Respiratory symptoms are more likely to have peritoneal fluid positive for the disease. The overall mortality rate in patients with Pharyngeal PCR test +ve and who had surgical intervention is 9/18, 50%. Patients with Respiratory symptoms and positive Nasopharyngeal PCR had mortality rate of 8/9, 88.88% among those who died in this group. It is difficult to comment on the mortality and morbidity of patients with COVID-19 in the peritoneal fluids as number of cases is small and many other variables can influence the morbidity and mortality in this group.