Programmatic Surgical Care in Cured Covid-19 Patients: Prospective Study with Review of the Literature

Objective: Given a possible persistent multi-systemic symptomatology during coronavirus disease 2019. It is important to consider the impact of a previous SARS-CoV-2 infection on the increase in postoperative morbidity and mortality, to that a postponement of the surgery proves to be necessary but this must always be counterbalanced by a potential deleterious effect of the delay of the intervention. The objective of our study is to assess the impact of a SARS-CoV-2 infection on the postoperative evolution in a patient cured of COVID-19 and to discuss the modalities and optimal delays of a planned surgery based on a review of the international literature. Material and Methods: This is a descriptive prospective study of a series of 66 patients with a history of recent confirmed SARS-CoV-2 infection and having had a scheduled surgery within 4 to 8 weeks. after the acute phase, in the operating theater of the Mohamed V military training hospital in Rabat, over a period of 9 months between September 2020 and May 2021. Results: We noted that only 6.06% of patients had a postoperative complication including: 3.03% infection of the surgical site, 1.51% sepsis on a urinary tract infection and 1.51% postoperative bleeding and no death has not been recorded. While in the literature a postponement of scheduled surgery for 7 weeks after SARS-CoV-2 infection is the delay associated with a lower risk of postoperative morbidity and mortality, these delays are really of little contribution in our study.