[Venous gangrene of small intestine following coronavirus infection (SARS-COVID-19)]. / Venoznaya gangrena tonkoi kishki na fone koronavirusnoi infektsii (SARS-COVID-19).

The pandemic of a new coronavirus infection has made certain adjustments to modern emergency medicine. Systemic endothelial dysfunction following COVID-19 largely determines hemostatic disorders. Numerous studies revealed that intense platelet adhesion followed by platelet aggregates in COVID-19 patients and functional disorders of fibrinolysis system are combined with activation and severe endothelial dysfunction. The last one inevitably leads to thrombosis and adverse vascular events. There are a lot of studies devoted to deep vein thrombosis and fatal massive pulmonary embolism under COVID-19 infection. However, there are no descriptions of mesenteric thrombosis followed by intestinal wall necrosis. Our experience is based on the treatment and follow-up of 14 patients with venous gangrene of small intestine under COVID-19-induced severe endothelial dysfunction. We present a 40-year-old man with coronavirus infection complicated by ileum gangrene and subsequent favorable outcome.

[Pudov Surgical care in a multi-field hospital during the new coronavirus infection pandemic (SARS-COVID-19): a 5-year experience]. / Okazanie khirurgicheskoi pomoshchi v mnogoprofil'nom «nekovidnom¼ statsionare v period pandemii novoi koronavirusnoi infektsii (SARS-COVID-19). Pyatiletnii opyt.

OBJECTIVE: To analyze the 5-year experience of surgical care in a multi-field hospital during the coronavirus pandemic and before infection. MATERIAL AND METHODS: We assessed «non-traumatic¼ surgery and the main indicators in a multi-field hospital during the coronavirus pandemic and surgical work in the «pre-COVID¼ period. RESULTS: The number of discharged patients was the same between 2018 and 2021. In 2020-2021, mortality increased by 2.8 times, the number of deceased patients - by 2.5 times, hospitalizations for emergency surgical indications - by 2.1 times. Elective care decreased by 2.5 times. The number of adverse vascular events increased by 3 times. CONCLUSION: Acute increase in emergency surgery and decrease in elective care create the prerequisites for growth of «neglect¼ with subsequent postoperative complications. We observed significant increase in mortality. It is advisable to create a backup emergency surgical service in infectious disease hospitals to provide care in obviously infected patients.