SARS-Cov-2 Was Not Found in the Peritoneal Fluid of an Asymptomatic Patient Undergoing Laparoscopic Appendectomy.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Gustavo Romero-VelezDiego Camacho

Abstract

The safety of laparoscopic surgery in SARS-CoV-2 positive patients remains unclear. The presence of the virus within peritoneal fluid and the peritoneal tissues is not known. We report an asymptomatic COVID-19 positive patient who underwent laparoscopic appendectomy with negative peritoneal sampling for SARS-CoV-2. During a standard 3 port laparoscopic surgery samples peritoneal fluid, peritoneal brushings, and surgical smoke plum were collected. Specific real-time reverse transcriptase-polymerase chain reaction targeting SARS-CoV-2 were used to detect the presence of the virus in the samples. SARS-CoV-2 was not detected on multiple samples of the peritoneum in an asymptomatic patient. SARS-CoV-2 was not found in the peritoneum of a single patient with asymptomatic infection. Further studies comparing SARS-CoV-2 surgical candidates are needed to address safety concerns.

References

Jul 9, 2005·The Journal of Hospital Infection·E AlpA Voss
Feb 27, 2014·Surgical Endoscopy·Seock Hwan ChoiTae-Hwan Kim
Feb 1, 2020·The New England Journal of Medicine·Michelle L HolshueUNKNOWN Washington State 2019-nCoV Case Investigation Team
Feb 20, 2020·The New England Journal of Medicine·Lirong ZouJie Wu
Apr 1, 2020·The Lancet Infectious Diseases·Francois-Xavier LescureYazdan Yazdanpanah

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Citations

Oct 28, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Sameh Hany Emile, Hytham K S Hamid
Jun 19, 2021·Journal of Minimally Invasive Gynecology·Artur J JakimiukWaldemar Wierzba

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Methods Mentioned

BETA
bronchoalveolar lavage

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