Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study
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Gil, Camille | Beyer-Bergeot, Laura | Sabbagh, Charles | Zerbib, Philippe | Bridoux, Valérie | Manceau, Gilles | Panis, Yves | Buscail, Etienne | Venara, Aurélien | Khaoudy, Iman | Gaillard, Martin | Viennet, Manon | Thobie, Alexandre | Menahem, Benjamin | Eveno, Clarisse | Bonnel, Catherine | Mabrut, Jean-Yves | Badic, Bodgan | Godet, Camille | Eid, Yassine | Duchalais, Emilie | Lakkis, Zaher | Cotte, Eddy | Laforest, Anais | Defourneaux, Véronique | Maggiori, Léon | Rebibo, Lionel | Christou, Niki | Talal, Ali | Mege, Diane | Bonnamy, Cécile | Germain, Adeline | Mauvais, François | Tresallet, Christophe | Roudie, Jean | Laurent, Alexis | Trilling, Bertrand | Bertrand, Martin | Massalou, Damien | Romain, Benoit | Tranchart, Hadrien | Giger, Urs | Alves, Arnaud | Ouaissi, Mehdi | Pellegrin, Alexandra | Regimbeau, Jean Marc | Gillet, Julien | Hamy, Antoine | Lahmidi, Amine | Sebbagh, Mohamed | Bres, Antoine | Girard, Nicolas | Desjouis, Aurélie | Ainseba, Nadjib | Epailly, Julien | Huysman, Fabienne | Dezeustre, Maud | Doussot, Alexandre | Turco, Célia | Bourrhis, Diane | Finocchi, Morgane | Marion, Yoan | Lebreton, Gil | Benard, Flavie | Pineau, Elodie | Bouvier, Véronique | Dejardin, Olivier | Ortega Deballon, Pablo | Moreno-Lopez, Nathan | Rat, Patrick | Makar, Bassem | Fara, Paola | Pompilio, Marc | Hertault, Hugo | Guezennec, Corentin | Saida, Habchi | Brinza, Alexandre | Plard, Laurent | Ailhaud, Antoine | Gutierrez, Léa | Venchiarutti, Vincent | Faucheron, Jean-Luc | Morin, Bertrand | de la Clause, Bertrand Pech | Voitellier, Eglantine | Gagnat, Guillaume | Noiret, Barbara | Laroye, Constance | Piessen, Guillaume | Lécolle, Katia | Robert, Jean | Engel, Perrine | Mathonnet, Muriel | Rodriguez, Cyprien | Makki, Ammar | Couchard, Anne-Cécile | Duramé, François | Marceau, Cécile | Paquet, Jean-Christophe | Kepenekian, Vahan | Passot, Guillaume | Glehen, Olivier | Wallach, Ninon | Mohkam, Kayvan | Blanc, Marie-Caroline | Berdah, Stéphane | Aubert, Mathilde | Ayav, Ahmet | Chanty, Hervé | Didier, Alexandre | Vigneron, Estelle | Périard, Noémie | Thaumoux, Marie | Grenouilloux, Océane | Fall, Seila | Thomareis, Sophoclis | Marsollier, Chloé | Prud’homme, Michel | Antonopulos, Christos | Msika, Simon | Monsinjon, Marie | Giacca, Massimo | Cazelles, Antoine | Karoui, Mehdi | Malerba, Valentina | Dagher, Ibrahim | de Angelis, Nicola | Brunetti, Francesco | Ahmed, Omar | Ferraz, Jean-Marc | Ramjaun, Yassir | Denet, Christine | Fuchs, Basile | Pietrasz, Daniel | Raimbert, Pénélope | Benedetti, Juliette | Coton, Chloé | Corte, Hélène | Medrignac, Aude | Chavrier, Daphné | Girard, Robin | Berthelot, Julia | Monge, Matthieu | Papet, Eloïse | Pinson, Jean | Dolbeau, Elise | Tuech, Jean-Jacques | Chautard, Julien | Boullier, Mathilde | Goujard, François | Perrot, Laurent | Loge, Ludovic | Petiot, Jean-Michel | Mandefredelli, Simone | Charleux-Muller, Diane | Sauvinet, Guillaume | Bertin, Jean-Baptiste | Vincent, Louis | Simeu, Blandine | Delhorme, Jean-Baptiste | Brigand, Cécile | Rohr, Serge | Bouchet, Manon | Duffas, Jean-Pierre | Ghouti, Laurent | Philis, Antoine | Portier, Guillaume | Karam, Elias | Michot, Nicolas | Artus, Alice | Mauny, Emilien | Jouppe, Pierre-Olivier | Bourbao-Tournois, Céline | Barbin, Hugo | Thiery, Julien
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CCSD ; Springer Verlag -
International audience.
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.
