Evidence map›Paper›PMID 37219799›Full record

SynthesisSurgical endoscopy2023

Presence of SARS-CoV-2 in abdominal tissues and biologic fluids during abdominal surgery: a systematic review.

Gustavo Romero-Velez, Guillermo Ponce de Leon-Ballesteros, Maryam Al Zubaidi, Juan S Barajas-Gamboa, Jerry Dang, Ricard Corcelles, Andrew T Strong, Salvador Navarrete, Mathew Kroh

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Letter to Editor: In response to existence of SARS-CoV-2 in the peritoneal fluid.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Article
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

9 authors at 2 institutions in 2 countries.

Gustavo Romero-VelezDepartment of Endocrine Surgery, Cleveland Clinic, 9500 Euclid Avenue, Mail Code F20, Cleveland, OH, 44195, USA. romerog4@ccf.org.ORCID 0000-0002-9762-3698
Guillermo Ponce de Leon-BallesterosDepartment of Surgery, Hospital Angeles Morelia, Morelia, Mexico.
Maryam Al ZubaidiDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Juan S Barajas-GamboaDigestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Jerry DangDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Ricard CorcellesDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Andrew T StrongDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Salvador NavarreteDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Mathew KrohDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Cleveland Clinic · USUniversidad de Morelia · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundViral transmission to healthcare providers during surgical procedures was a major concern at the outset of the COVID-19 pandemic. The presence of the severe acute respiratory disease syndrome coronavirus (SARS-CoV-2), the virus responsible for COVID-19, in the abdominal cavity as well as in other abdominal tissues which surgeons are exposed has been investigated in several studies. The aim of the present systematic review was to analyze if the virus can be identify in the abdominal cavity.

methodsWe performed a systematic review to identify relevant studies regarding the presence of SARS-CoV-2 in abdominal tissues or fluids. Number of patients included as well as patient's characteristics, type of procedures, samples and number of positive samples were analyzed.

resultsA total of 36 studies were included (18 case series and 18 case reports). There were 357 samples for detection of SARS-CoV-2, obtained from 295 individuals. A total of 21 samples tested positive for SARS-CoV-2 (5.9%). Positive samples were more frequently encountered in patients with severe COVID-19 (37.5% vs 3.8%, p < 0.001). No health-care provider related infections were reported.

conclusionAlthough a rare occurrence, SARS-CoV-2 can be found in the abdominal tissues and fluids. It seems that the presence of the virus in the abdominal tissues or fluids is more likely in patients with severe disease. Protective measures should be employed in the operating room to protect the staff when operating patients with COVID-19.

Indexed as

Biological ProductsCOVID-19FecesHumansPandemicsSARS-CoV-2Biological ProductsCOVID-19ReviewSafetySARS-CoV-2Surgery

Identifiers

PMID37219799
PMCPMC10204688
OpenAlexW4377563792

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.