RESUMO
AIM: The aim of this study is to compare the numbers of patients, clinical outcomes, and complication rates of acute appendicitis before and after COVID-19 pandemic in our clinic. MATERIAL AND METHOD: This is a retrospective clinical study. Patients of 19 to 88 years of age that underwent emergency surgery with the diagnosis of acute appendicitis at Ankara City Hospital Department of General Surgery between 11 December 2019 and 11 June 2020 were included. The first case of COVID-19 in Turkey was announced on 11 March 2020. We studied the demographics, surgical procedures, and complication rates in 3 months periods before and after the first case was announced. RESULTS: A total number of 462 patients were analyzed between the ages of 19-88, 184 of which (39.8%) were females and 278 were males (60.2%). 253 of these patients were diagnosed with AA and underwent surgery before March 11 whereas 209 patients were diagnosed and treated after March 11. DISCUSSION: There was no statistical difference between the two groups in terms of complication rates before and after the pandemic. Although the rate of open appendectomy was increased after the pandemic, no statistical difference has been found. CONCLUSION: No change was observed in terms of hospital admissions, methods of treatment, complication rates, length of stay before and after the COVID-19 pandemic. KEY WORDS: Acute Appendicitis, Appendectomy, COVID-19.
Assuntos
Apendicite , COVID-19 , Masculino , Feminino , Humanos , Adulto Jovem , Adulto , COVID-19/epidemiologia , Pandemias , Estudos Retrospectivos , Apendicite/epidemiologia , Apendicite/cirurgia , Apendicite/etiologia , Hospitalização , Apendicectomia/métodos , Doença Aguda , Tempo de InternaçãoAssuntos
Hiperplasia Endometrial/diagnóstico , Hiperplasia Endometrial/epidemiologia , Neoplasias do Endométrio/diagnóstico , Neoplasias do Endométrio/epidemiologia , Achados Incidentais , Infertilidade , Adolescente , Adulto , Estudos de Coortes , Hiperplasia Endometrial/etiologia , Neoplasias do Endométrio/etiologia , Feminino , Humanos , Infertilidade/diagnóstico , Infertilidade/etiologia , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto JovemRESUMO
We investigated the feasibility of using serum alpha-fetoprotein (AFP) levels as a screening test for prenatal diagnosis of Fanconi anemia (FA). Serial measurements in maternal serum were recorded. Parents, both heterozygous for FA, had declined prenatal molecular testing. The infant was born with no somatic abnormalities, and FA was confirmed by postnatal molecular analysis. Maternal serum AFP levels during each trimester of pregnancy were normal indicating that these levels cannot be used as a screening test in prenatal diagnosis. Three-year follow-up after birth showed constantly elevated serum levels in the patient from the start, suggesting a lack of postnatal inhibition on AFP gene.