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. 2023 Dec 2;38(1):276.
doi: 10.1007/s00384-023-04564-w.

Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study

Camille Gil  1 , Laura Beyer-Bergeot  2 , Charles Sabbagh  3 , Philippe Zerbib  4 , Valérie Bridoux  5 , Gilles Manceau  6 , Yves Panis  7 , Etienne Buscail  8 , Aurélien Venara  9 , Iman Khaoudy  10 , Martin Gaillard  11 , Manon Viennet  12 , Alexandre Thobie  13 , Benjamin Menahem  14 , Clarisse Eveno  15 , Catherine Bonnel  16 , Jean-Yves Mabrut  17 , Bodgan Badic  18 , Camille Godet  19 , Yassine Eid  20 , Emilie Duchalais  21 , Zaher Lakkis  22 , Eddy Cotte  23 , Anais Laforest  24 , Véronique Defourneaux  25 , Léon Maggiori  26 , Lionel Rebibo  27 , Niki Christou  28 , Ali Talal  29 , Diane Mege  30 , Cécile Bonnamy  31 , Adeline Germain  32 , François Mauvais  33 , Christophe Tresallet  34 , Jean Roudie  35 , Alexis Laurent  36 , Bertrand Trilling  37 , Martin Bertrand  38 , Damien Massalou  39 , Benoit Romain  40 , Hadrien Tranchart  41 , Urs Giger  42 , Arnaud Alves  14 , Mehdi Ouaissi  43 ; French Surgical Association
Collaborators, Affiliations

Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study

Camille Gil et al. Int J Colorectal Dis. .

Abstract

Objective: To analyze the surgical management of sigmoid diverticular disease (SDD) before, during, and after the first containment rules (CR) for the first wave of COVID-19.

Methods: From the French Surgical Association multicenter series, this study included all patients operated on between January 2018 and September 2021. Three groups were compared: A (before CR period: 01/01/18-03/16/20), B (CR period: 03/17/20-05/03/20), and C (post CR period: 05/04/20-09/30/21).

Results: A total of 1965 patients (A n = 1517, B n = 52, C n = 396) were included. The A group had significantly more previous SDD compared to the two other groups (p = 0.007), especially complicated (p = 0.0004). The rate of peritonitis was significantly higher in the B (46.1%) and C (38.4%) groups compared to the A group (31.7%) (p = 0.034 and p = 0.014). As regards surgical treatment, Hartmann's procedure was more often performed in the B group (44.2%, vs A 25.5% and C 26.8%, p = 0.01). Mortality at 90 days was significantly higher in the B group (9.6%, vs A 4% and C 6.3%, p = 0.034). This difference was also significant between the A and B groups (p = 0.048), as well as between the A and C groups (p = 0.05). There was no significant difference between the three groups in terms of postoperative morbidity.

Conclusion: This study shows that the management of SDD was impacted by COVID-19 at CR, but also after and until September 2021, both on the initial clinical presentation and on postoperative mortality.

Keywords: COVID-19; Sigmoid diverticular disease; Surgical management.

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