Evidence map›Paper›PMID 32568751›Full record

ArticleAnnals of surgery2020

Abdominal Surgery in Patients With COVID-19: Detection of SARS-CoV-2 in Abdominal and Adipose Tissues.

Saeed Safari, Hossein Keyvani, Nasser Malekpour Alamdari, Amin Dehghanian, Melika Razavi Hashemi, Behzad Nemati Honar, Ali Aminian

Open access · greenAbstract readCase Reports
In one paragraph

Article in Annals of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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  11. How did the general surgeons intend to treat acute calculous cholecystitis during COVID-19 era?Results of online survey.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Saeed SafariDepartment of Surgery, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Hossein KeyvaniDepartment of Virology, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Nasser Malekpour AlamdariShahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Amin DehghanianDepartment of Surgery, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Melika Razavi HashemiDepartment of Pathology, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Behzad Nemati HonarImam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ali AminianDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.
Iran University of Medical Sciences · IRCleveland Clinic · USImam Hossein Hospital · IRShahid Beheshti University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple tissue samples were obtained during emergent abdominal surgery in 4 patients with coronavirus disease 2019 (COVID-19) to examine for tissue involvement by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first patient underwent a laparoscopic cholecystectomy for gallbladder empyema and died from severe respiratory failure. The second patient with Crohn disease underwent emergent laparotomy for a perforation in the terminal ileum and recovered. The third patient underwent an open appendectomy and recovered. The fourth patient underwent emergent laparotomy for a perforated peptic ulcer and died from sepsis. Although the SARS-CoV-2 RNA was found in the feces of 3 patients and in the duodenal wall of the patient with perforated peptic ulcer, real time reverse transcriptase polymerase chain reaction (RT-PCR) examination of abdominal fluid was negative for the virus. The RT-PCR did not detect viral RNA in the wall of small intestine, appendix, gallbladder, bile, liver, and urine. Visceral fat (omentum) and abdominal subcutaneous fat of 4 patients were also not infected with the SARS-CoV-2. Although this limited experience did not show direct involvement of abdominal fluid and omentum, assessment in large series is suggested to provide answers about the safety of abdominal surgery in patients with COVID-19.

Indexed as

AdultAgedAppendicitisCholecystitisCOVID-19COVID-19 Nucleic Acid TestingFemaleHumansMalePeptic Ulcer PerforationPeritonitisReverse Transcriptase Polymerase Chain ReactionSARS-CoV-2

Identifiers

PMID32568751
PMCPMC7467038
OpenAlexW3036005383

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.