Evolving Trends in the Management of Acute Appendicitis During COVID‐19 Waves: The ACIE Appy II Study

• DOI: 10.1007/s00268-022-06649-z
• Publication Date: 2022-07-09T22:02:32Z
• Authors: Francesco Pata; Marcello Di Martino; Mauro Podda; Salomone Di Saverio; Benedetto Ielpo; Gianluca Pellino; ; Abba Julio; Abdullah Alshamrani; Abdullah Alturkis...; Abdulrahman Alghamdi; Abdulrahman Almalki; Adam Orengia; Adnan Kuvvetli; Adolfo Pisanu; Adrian Smith; Adriana Michelle ...; Aeris Jane Nacion; Ahmad Alhazmi; Ahmad Bouhuwaish; Ahmad Khalid; Ahmed Alsufyani; Ainhoa Valle Rubio; Akshay Bavikatte; Akshay Kumar; Al‐Radjid Jamiri; Alberto de San Il...; Alberto Porcu; Alberto Sartori; Aldo Rocca; Aleksandar Sreten...; Alessandro Anselmo; Alessandro De Luca; Alexandros Charal...; Alexios Tzivanakis; Alfonso Bandin; Alfonso Nájar; Alice Frontali; Alsulaimani Faisal; Amaia Martínez Ro...; Amal Hamid; Ana André; Ana Minaya‐Bravo; Andre Das; Andrea Bondurri; Andrea Costanzi; Andrea Lucchi; Andrei Mihailescu; Andrea Police; Andres Mendoza Zu...; Angela Romano; Angelo Iossa; Antonella Chessa; Antonella Tromba; Antonio Castaldi; Antonio Brillantino; Antonio Ferronetti; Antonio Giuliani; Antonio Ramos‐De ...; Antonio Tarasconi; Arcangelo Picciar...; Argyrios Ioannidis; Ari Leppäniemi; Arshad Rashid; Ashrarur Rahman M...; Asif Mehraj; Asim laharwal; Atif Iqbal; Athanasios Liarakos; Athanasios Marinis; Beatriz de Andrés...; Belén Matías‐García; Belinda De Simone; Ben Creavin; Ben Stubbs; Brian Goh; Branislav Jovanovic; Bruno Sensi; Carlo Gazia; Carlos Cerdán; Carlos Javier Góm...; Carlos Petrola Ch...; Carlos Yánez; Carmelo Lo Faro; Caroline Reinke; Casandra Dominguez; Charudutt Paranjape; Charlotte Thomas; Chia Chi Fung; Chiara De Lucia; Chiu Hiu Fung Jen...; Christian Ovalle‐...; Claudio Guerci; Cleo Kenington; Corina Gica; Cristina Folliero; Cristopher Varela; Daniel Popowich; Daniele Delogu; Daniele Zigiotto; Danilo Vinci; Dario D'Antonio; David Alessio Mer...; David Merlini; David Moro‐Valdezate; Deborah Keller; Diana Cristiana N...; Diego Sasia; Edgar Rodas; Dimitrios Linardo...; Domenico Russello; Pedro Alfonso Náj...; Habil Gregor Stavrou; Edoardo Rosso; Edoardo Saladino; Edoardo Ricciardi; Eduardo Smith‐Sin...; Efstratia Baili; Eleftheria Douka; Eleonora Guaitoli; Elisa Francone; Elisa Maria Vater...; Elisa Sefora Pier...; Emilio Morales; Emilio Peña Ros; Enrico Benzoni; Enrico Erdas; Enrico Pinotti; Enrique Colás‐Ruiz; Ernesto Laterza; Esteban Foianini; Eugenia Cardamone; Eugenio Licardie; Fabio Marino; Fahad Alsofyani; Fahad Qahtani; Farhan Khan; Fatlum Maraska; Fatmir Saliu; Fausto Madrid; Fausto Rosa; Federico Luvisetto; Felipe Alconchel; Felipe Pareja‐Ciuro; Fernanda Neves; Ferdinando Agresta; Fernando Cordera; Fernando Pardo; Fernando Mendoza‐...; Fernando Munoz‐Fl...; Francesca Maria S...; Francesca Paola T...; Francesca Pecchini; Francesca Serio; Francesco Colombo; Francesco Di Marzo; Francesco Ferrara; Francesco Lancell...; Francesco Litta; Francesco Martini; Francesco Roscio; Francisco Blanco‐...; Francisco Javier ...; Francisco Schlott...; Gabriel Herrera‐A...; Gabrielle van Ram...; Gaetano Gallo; Gaetano Luglio; Georgios Kampouro...; Georgios Papadopo...; Gerardo Arredondo; Giacomo Calini; Giampaolo Formisano; Giampaolo Galiffa; Gian Marco Palini; Gianluca Colucci; Gianluca Pagano; Gianluca Vanni; Gianmaria Casoni ...; Gianpiero Gravante; Giorgio Lisi; Giovanni Bellanova; Giovanni De Nobili; Giovanni Sammy Ne...; Giovanni Sinibaldi; Giulia Bacchiocchi; Giulia Bagaglini; Giulia Maggi; Giuliano Izzo; Giulio Argenio; Giuseppe Brisinda; Giuseppe Esposito; Giuseppe Frazzetta; Giuseppe Massimil...; Giuseppe Nigri; Giuseppe Sica; Gonzalo Martin‐Ma...; Gustavo Armand Ugon; Gustavo Martinez‐...; Gustavo Miguel Ma...; Gustavo Nari; Herald Nikaj; Ignacio Neri; Igor Alberdi San ...; Iliya Fidoshev; Iñaki Martínez; Ionut Negoi; Irene Ortega; Irune Vicente Rod...; Isabel Cornejo; Ismael Mora‐Guzmán; Issam al‐Najami; Ivan Romic; Izaskun Balciscueta; James Olivier; Jan Lammel‐Lindemann; Jana Dziakova; Javier Salinas; Jelena Pejanovic ...; Jeryl Anne Silvia...; Joanne Salas; Jose Antonio Diaz...; Jose Gustavo Parr...; Juan Bellido; Juan Salamea; Juan Carlos Martí...; Juliana María Ord...; Sofi Junaid; Justin Davies; Kapil Sahnan; Kebebe Bekele; Kelvin Voon; Leandro Siragusa; Lorenzo Petagna; Luca Ferrario; Luca Giordano; Luca Nespoli; Luca Pio; Lucia Moletta; Luciano Curella; Lucio Taglietti; Luigi Bonavina; Luigi Conti; Luis Eduardo Pére...; Luis Felipe Cabre...; Luis Sánchez‐Guillén; Luis Tallon‐Aguilar; Mansoor Khan; Marcello Giuseppe...; Marcelo Viola; Marcelo Viola Malet; Marco Angrisani; Marco Calussi; Marco Catarci; Marco Giordano; Marco Materazzo; Marco Milone; Marco Pellicciaro; Marco Vito Marino; María Daniela Mor...; Maria Giulia Lolli; Maria Irene Bellini; Maria Lemma; Maria Michela Chi...; Mario Montes‐Manr...; Mario Rodriguez‐L...; Mario Serradilla‐...; Mark Peter; Marta Paniagua‐Ga...; Martin Rutegård; Martin Salö; Massimiliano Silveri; Massimiliano Veroux; Matteo Nardi; Matteo Rottoli; Matti Tolonen; Mauricio Pedraza ...; Mauricio Zuluaga; Maurizio Iacobone; Mauro Montuori; Mazin Ali; Melody García Dom...; Menna Maria Paola; Micaela Piccoli; Michela Campanelli; Michele De Rosa; Michele Manigrasso; Michele Maruccia; Michele Torre; Michele Zuolo; Miguel Pera; Mihiri Weerasekera; Mikel Prieto; Min Myat Thway; Mohamed Shaat; Mohammad Azfar; Mostafa Shalaby; Muhammad Asif Raza; Muhammad Umar Younis; Muhammed Elhadi; Mujahid Ali; Musab AlThomali; Nadiah Al Amri; Nagendra Dudi‐Ven...; Nahar Alselaim; Neil Smart; Nelson Trelles; Nicolò Falco; Niccolo Petrucciani; Nicola Antonacci; Nicola Cillara; Nicolae Gica; Nicolò Pecorelli; Nicolò Tamini; Nikolaos Machairas; Nura Feituri; Nuria Ortega Torr...; Octavio Avila Mer...; Ohood AlAamer; Oktay Irkorucu; Omar Alsherif; Oreste Claudio Bu...; Orestes Valles‐Gu...; Orestis Ioannidis; Oscar Isaac Herná...; Oscar Sanz Guadar...; Osman Bozbiyik; Pablo Rodrigues; Pamela Milito; Paolo Panaccio; Panagiotis Dorovinis; Paola Prieto; Paolo Baroffio; Patrizia Marsanic; Pawel Ajawin; Peng Soon Koh; Pietro Anoldo; Piotr Major; Qasem Alharthi; Rashid Lui; Riccardo Caruso; Richard Brady; Rishi Rattan; Rishi Singhal; Roberta Angelico; Roberta Maria Ise...; Roberta Tutino; Roberto Peltrini; Rodrigo Tejos; Roosevelt Fajardo; Rossella Elia; Salvador Morales‐...; Sami Benli; Sara Fuentes; Sara Gortázar de ...; Sara Ortiz de Guz...; Sara Vertaldi; Selmy Awad; Sergio Gentilli; Sergio Alberto We...; Serkan Tayar; Shabab Althobaiti; Silvia Di Giovanni; Soliman Ghedan; Sonia Pérez‐Bertólez; Sonja Chiappetta; Spiros Delis; Stefano Scaringi; Süleyman Çetinkünar; Stylianos Kykalos; Syed Muhammad Ali; Sylvia Krivan; Tak Lit Derek Fung; Tarik Delko; Tatiana Nicolás L...; Tercio De Campos; Teresa Calderón D...; Teresa Perra; Theodore Liakakos; Theodoros Daskalakis; Tijmen Koëter; Tiku Zalla; Tomás Elosua Gonz...; Tommaso Campagnaro; Toure Alpha Oumar; Ugo Grossi; Valentina Sosa; Valentina Testa; Valentina Tomajer; Valeria Andriola; Valeria Tonini; Valerio Celentano; Valerio Voglino; Venkateswara Rao ...; Víctor Hugo Garcí...; Victor Turrado‐Ro...; Victor Visag‐Cast...; Victoria Graham; Viktor Rachkov; Vincenzo Papagni; Vincenzo Vigorita; Virginia Jiménez ...; Vittoria Bellato; Wolf Bechstein; Yuksel Altinel; Zutoia Balciscueta
• Keywords: Pandemic; Personal Protective Equipment; Vascular surgery; Cardiothoracic surgery

Abstract Background In 2020, ACIE Appy study showed that COVID‐19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, an increased rate non‐operative (NOM) strategies and a trend toward open surgery due to concern virus transmission by laparoscopy controversial recommendations on this issue. The aim was survey again same group surgeons assess if any difference in attitudes AA had occurred later stages outbreak. Methods From August 15 September 30, 2021, online questionnaire sent all 709 participants study. included questions personal protective equipment (PPE), local policies screening for SARS‐CoV‐2 infection, NOM, surgical approach disease presentations 2021. results were compared from previous Results A total 476 answers collected (response 67.1%). Screening significatively improved most screened regardless symptoms (89.5% vs. 37.4%) PCR antigenic test as preferred (74.1% 26.3%). More tested positive before commercial systems ones filter smoke plumes during laparoscopy. Laparoscopic appendicectomy first option treatment AA, declined use NOM. Conclusion Management has last waves pandemic. Increased evidence regarding SARS‐COV‐2 infection along timely healthcare response been translated into tailored better care worldwide.