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Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study

  • RESEARCH
  • Published:
International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Objective

To analyze the surgical management of sigmoid diverticular disease (SDD) before, during, and after the first containment rules (CR) for the first wave of COVID-19.

Methods

From the French Surgical Association multicenter series, this study included all patients operated on between January 2018 and September 2021. Three groups were compared: A (before CR period: 01/01/18–03/16/20), B (CR period: 03/17/20–05/03/20), and C (post CR period: 05/04/20–09/30/21).

Results

A total of 1965 patients (A n = 1517, B n = 52, C n = 396) were included. The A group had significantly more previous SDD compared to the two other groups (p = 0.007), especially complicated (p = 0.0004). The rate of peritonitis was significantly higher in the B (46.1%) and C (38.4%) groups compared to the A group (31.7%) (p = 0.034 and p = 0.014). As regards surgical treatment, Hartmann’s procedure was more often performed in the B group (44.2%, vs A 25.5% and C 26.8%, p = 0.01). Mortality at 90 days was significantly higher in the B group (9.6%, vs A 4% and C 6.3%, p = 0.034). This difference was also significant between the A and B groups (p = 0.048), as well as between the A and C groups (p = 0.05). There was no significant difference between the three groups in terms of postoperative morbidity.

Conclusion

This study shows that the management of SDD was impacted by COVID-19 at CR, but also after and until September 2021, both on the initial clinical presentation and on postoperative mortality.

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Acknowledgements

To the others of AFC Working Group Alexandra Pellegrin, Amiens University Hospital, Amiens, France; Jean Marc Regimbeau, Amiens University Hospital, Amiens, France; Julien Gillet, Angers University Hospital, Angers, France; Antoine Hamy, Angers University Hospital, Angers, France; Amine Lahmidi, Argentan Hospital, Argentan, France; Mohamed Sebbagh, Argentan Hospital, Argentan, France; Antoine Bres, Argentan Hospital, Argentan, France; Nicolas Girard, Bayeux Hospital, Bayeux, France; Aurélie Desjouis, Bayeux Hospital, Bayeux, France; Nadjib Ainseba, Beauvais Hospital, Beauvais, France; Julien Epailly, Beauvais Hospital, Beauvais, France; Fabienne Huysman, Beauvais Hospital, Beauvais, France; Maud Dezeustre, Besançon University Hospital, Besançon, France; Alexandre Doussot, Besançon University Hospital, Besançon, France; Célia Turco, Besançon University Hospital, Besançon, France; Diane Bourrhis, Brest University Hospital, Brest, France; Camille Godet, Caen University Hospital, Caen, France; Morgane Finocchi, Caen University Hospital, Caen, France; Yoan Marion, Caen University Hospital, Caen, France; Gil Lebreton, Caen University Hospital, Caen, France; Flavie Benard, INSERM 1086 ANTICIPE Unity, Caen, France; Elodie Pineau, INSERM 1086 ANTICIPE Unity, Caen, France; Véronique Bouvier, INSERM 1086 ANTICIPE Unity, Caen, France; Olivier Dejardin, INSERM 1086 ANTICIPE Unity, Caen, France; Pablo Ortega Deballon, Dijon University Hospital, Dijon, France; Nathan Moreno-Lopez, Dijon University Hospital, Dijon, France; Patrick Rat, Dijon University Hospital, Dijon, France; Bassem Makar, Flers Hospital, Flers, France; Paola Fara, Flers Hospital, Flers, France; Marc Pompilio, Flers Hospital, Flers, France; Hugo Hertault, Martinique Hospital, Fort-de-France, France; Corentin Guezennec, Martinique Hospital, Fort-de-France, France; Habchi Saida, Avranches-Granville Hospital, Avranches, France; Alexandre Brinza, Avranches-Granville Hospital, Avranches, France; Laurent Plard, Avranches-Granville Hospital, Avranches, France; Antoine Ailhaud, Grenoble University Hospital, Grenoble, France; Léa Gutierrez, Grenoble University Hospital, Grenoble, France; Vincent Venchiarutti, Grenoble University Hospital, Grenoble, France; Jean-Luc Faucheron, Grenoble University Hospital, Grenoble, France; Bertrand Morin, Le Havre Hospital, Le Havre, France; Bertrand Pech de la clause, Le Havre Hospital, Le Havre, France; Eglantine Voitellier, Le Havre Hospital, Le Havre, France; Guillaume Gagnat, Le Havre Hospital, Le Havre, France; Barbara Noiret, University Hospital of Lille, Lille, France; Constance Laroye, University Hospital of Lille, Lille, France; Guillaume Piessen, University Hospital of Lille, Lille, France; Katia Lécolle, Huriez University Hospital, Lille, France; Jean Robert, Huriez University Hospital, Lille, France; Nzamushelepanmabla, Huriez University Hospital, Lille, France; Perrine Engel, Limoges University Hospital, Limoges, France; Muriel Mathonnet, Limoges University Hospital, Limoges, France; Cyprien Rodriguez, Lisieux Hospital, Lisieux, France; Ammar Makki, Lisieux Hospital, Lisieux, France; Anne-Cécile, Longjumeau Hospital, Longjumeau, France; François Duramé, Longjumeau Hospital, Longjumeau, France; Cécile Marceau, Longjumeau Hospital, Longjumeau, France; Jean-Christophe Paquet, Longjumeau Hospital, Longjumeau, France; Vahan Kepenekian, Edouard-Herriot University Hospital, Lyon, France; Guillaume Passot, Edouard-Herriot University Hospital, Lyon, France; Olivier Glehen, Edouard-Herriot University Hospital, Lyon, France; Ninon Wallach, La Croix-Rousse University Hospital, Lyon, France; Kayvan Mohkam, La Croix-Rousse University Hospital, Lyon, France; Marie-Caroline Blanc, North University Hospital, Marseille, France; Stéphane Berdah, North University Hospital, Marseille, France; Mathilde Aubert, Timone University Hospital, Marseille, France; Ahmet Ayav, Nancy University Hospital, Nancy, France; Hervé Chanty, Nancy University Hospital, Nancy, France; Alexandre Didier, Nancy University Hospital, Nancy, France; Estelle Vigneron, Nancy University Hospital, Nancy, France; Noémie Périard, Nantes University Hospital, Nantes, France; Marie Thaumoux, Nantes University Hospital, Nantes, France; Océane Grenouilloux, Nice University Hospital, Nice, France; Seila Fall, Nice University Hospital, Nice, France; Sophoclis Thomareis, Nîmes University Hospital, Nîmes, France; Chloé Marsollier, Nîmes University Hospital, Nîmes, France; Michel Prud’homme, Nîmes University Hospital, Nîmes, France; Christos Antonopulos, Hospital Bichat-Claude-Bernard (APHP), Paris, France; Simon Msika, Hospital Bichat-Claude-Bernard (APHP), Paris, France; Marie Monsinjon, Hospital Beaujon (APHP), Clichy, France; Massimo Giacca, Hospital Beaujon (APHP), Clichy, France; Antoine Cazelles, European Georges Pompidou and Pitié-Salpêtrière Hospitals (APHP), Paris, France; Mehdi Karoui, European Georges Pompidou and Pitié-Salpêtrière Hospitals (APHP), Paris, France; Valentina Malerba, Antoine Beclere Hospital (APHP), Clamart, France; Ibrahim Dagher, Antoine Beclere Hospital (APHP), Clamart, France; Nicola de Angelis, Henri-Mondor Hospital (APHP), Créteil, France; Francesco Brunetti, Henri-Mondor Hospital (APHP), Créteil, France; Omar Ahmed, Avicenne University Hospital (APHP), Paris, France; Jean-Marc Ferraz, Montsouris Institut, Paris, France; Yassir Ramjaun, Montsouris Institut, Paris, France; Christine Denet, Montsouris Institut, Paris, France; Basile Fuchs, Cochin Hospital (APHP), Paris, France; Daniel Pietrasz, Hôpital Saint-Louis (APHP), Paris, France; Pénélope Raimbert, Hôpital Saint-Louis (APHP), Paris, France; Juliette Benedetti, Hôpital Saint-Louis (APHP), Paris, France; Chloé Coton, Hôpital Saint-Louis (APHP), Paris, France; Hélène Corte, Hôpital Saint-Louis (APHP), Paris, France, Aude Medrignac, Rennes University Hospital, Rennes, France; Daphné Chavrier, Rennes University Hospital, Rennes, France; Robin Girard, Rouen University Hospital, Rouen, France; Julia Berthelot, Rouen University Hospital, Rouen, France; Matthieu Monge, Rouen University Hospital, Rouen, France; Eloïse Papet, Rouen University Hospital, Rouen, France; Jean Pinson, Rouen University Hospital, Rouen, France; Elise Dolbeau, Rouen University Hospital, Rouen, France; Jean-Jacques Tuech, Rouen University Hospital, Rouen, France; Julien Chautard, Saint-Lô Hospital, Saint-Lô, France; Mathilde Boullier, Saint-Lô Hospital, Saint-Lô, France; François Goujard, Saint-Lô Hospital, Saint-Lô, France; Laurent Perrot, Saint-Lô Hospital, Saint-Lô, France; Ludovic Loge, Saint-Lô Hospital, Saint-Lô, France; Jean-Michel Petiot, Saint-Lô Hospital, Saint-Lô, France; Simone Mandefredelli, Strasbourg University Hospital Strasbourg France; Diane Charleux-Muller, Strasbourg University Hospital Strasbourg, France; Guillaume Sauvinet, Strasbourg University Hospital Strasbourg France; Jean-Baptiste Bertin, Strasbourg University Hospital, Strasbourg, France; Louis Vincent, Strasbourg University Hospital, Strasbourg, France; Blandine Simeu, Strasbourg University Hospital, Strasbourg, France; Jean-Baptiste Delhorme, Strasbourg University Hospital, Strasbourg, France; Cécile Brigand, Strasbourg University Hospital, Strasbourg, France; Serge Rohr, Strasbourg University Hospital, Strasbourg, France; Manon Bouchet, Toulouse University Hospital, Jean-Pierre Duffas, Toulouse University Hospital; Laurent Ghouti, Toulouse University Hospital Antoine Philis Toulouse University Hospital; Guillaume Portier, Toulouse University Hospital Elias Karam Tours University Hospital; Nicolas Michot, Tours University Hospital Alice Artus Tours University Hospital; Emilien Mauny, Tours University Hospital; Pierre-olivier Jouppe, Tours University Hospital; Céline Bourbao-Tournois, Tours University Hospital; Hugo Barbin, Tours University Hospital; Julien Thiery Tours University Hospital.

Author information

Authors and Affiliations

  1. Department of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Trousseau Hospital, University Hospital of Tours, Avenue de la République, F37044 Tours, France

    Camille Gil & Mehdi Ouaissi

  2. Department of Digestive Surgery Assistance Publique Hôpitaux de Marseille, North University Hospital, Marseille, France

    Laura Beyer-Bergeot

  3. Department of Surgery Department, Amiens University Hospital, Amiens, France

    Charles Sabbagh

  4. Department of Digestive Surgery and Transplantation, Huriez Hospital, Universite Lille Nord de France, Lille, France

    Philippe Zerbib

  5. Department of Digestive Surgery, University Hospital of Rouen, Rouen, France

    Valérie Bridoux

  6. Department of digestive Surgery, Assistance Publique Hôpitaux de Paris, Georges Pompidou University Hospital, univeristy Paris Cité, Paris, France

    Gilles Manceau

  7. Colorectal Surgery Center, Groupe Hospitalier Privé Ambroise Paré-Hartmann, Neuilly/Seine, France

    Yves Panis

  8. Department of Surgery, CHU Toulouse-Rangueil and Toulouse University, Toulouse, France

    Etienne Buscail

  9. Department of Digestive Surgery, University Hospital of Angers, Angers, France

    Aurélien Venara

  10. Department of Digestive Surgery, Le Havre Hospital, Le Havre, France

    Iman Khaoudy

  11. Department of Digestive Surgery, Cochin Hospital, Paris, France

    Martin Gaillard

  12. Department of General Surgery, University Hospital of Bocage, Dijon, France

    Manon Viennet

  13. Department of Digestive Surgery, Avranches-Granville Hospital, Avranches, France

    Alexandre Thobie

  14. Department of Digestive Surgery, University Hospital of Lille, Lille, France

    Clarisse Eveno

  15. Department of Digestive Surgery, Nord-Essonne Hospital, Longjumeau, France

    Catherine Bonnel

  16. Department of Digestive Surgery and Transplantation, Croix Rousse University Hospital, Lyon, France

    Jean-Yves Mabrut

  17. Department of General and Digestive Surgery, University Hospital, Brest, France

    Bodgan Badic

  18. Department of Digestive Surgery, Memorial Hospital of Saint-Lô, Saint-Lô, France

    Camille Godet

  19. Department of Digestive Surgery, Polyclinique de Lisieux, Lisieux, France

    Yassine Eid

  20. Department of Oncological, Digestive and Endocrine Surgery, University Hospital of Nantes, Nantes, France

    Emilie Duchalais

  21. Department of Digestive Surgical Oncology and Liver Transplantation, University Hospital of Besançon, Besançon, France

    Zaher Lakkis

  22. Department of Digestive Surgery, Hôpital Lyon Sud, Lyon, France

    Eddy Cotte

  23. Department of Digestive Surgery, Montsouris Institut, Paris, France

    Anais Laforest

  24. Department of Digestive Surgery, CHU Rennes, Rennes, France

    Véronique Defourneaux

  25. Department of Digestive Surgery, Hôpital Saint-Louis, Université Paris VII, APHP, Paris, France

    Léon Maggiori

  26. Department of Digestive, Oesogastric and Bariatric Surgery, Hôpital Bichat-Claude-Bernard, Paris, France

    Lionel Rebibo

  27. Department of Digestive Surgery, Limoges Hospital, Limoges, France

    Niki Christou

  28. Department of Digestive Surgery, Argentan Hospital, Argentan, France

    Ali Talal

  29. Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, Marseille, France

    Diane Mege

  30. Department of Digestive Surgery, Bayeux Hospital, Bayeux, France

    Cécile Bonnamy

  31. Department of Digestive Surgery, CHRU Nancy, Nancy, France

    Adeline Germain

  32. Department of Digestive Surgery, Beauvais Hospital, Beauvais, France

    François Mauvais

  33. Department of Digestive Surgical Oncology, Avicenne University Hospital, Sorbonne Paris Nord University, Paris, France

    Christophe Tresallet

  34. Department of Digestive Surgery, Martinique Hospital, Fort-de-France, France

    Jean Roudie

  35. Department of Digestive Surgery, Créteil Hospital, Créteil, France

    Alexis Laurent

  36. Department of Digestive and Emergency Surgery, Grenoble Alpes University Hospital, Grenoble, France

    Bertrand Trilling

  37. Department of Digestive Surgery, Universitary Hospital of Nîmes, Nîmes, France

    Martin Bertrand

  38. Department of Digestive Surgery, Hôpital L’Archet, Nice University, Nice, France

    Damien Massalou

  39. Department of General and Digestive Surgery, Hautepierre Hospital, Strasbourg University Hospital, Strasbourg, France

    Benoit Romain

  40. Department of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, AP-HP, Clamart, France

    Hadrien Tranchart

  41. Fliedner Fachhochschule, University of Applied Sciences, Düsseldorf, Germany

    Urs Giger

  42. Unité INSERM UMR 1086 ANTICIPE Registre spécialisé des Tumeurs Digestives du calvados-Service de chirurgie digestive, Université de Caen Normandie 14000, Caen, France

    Benjamin Menahem & Arnaud Alves

Authors
  1. Camille Gil
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  2. Laura Beyer-Bergeot
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  3. Charles Sabbagh
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  4. Philippe Zerbib
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  5. Valérie Bridoux
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  6. Gilles Manceau
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Consortia

on behalf of the French Surgical Association

  • Alexandra Pellegrin
  • , Jean Marc Regimbeau
  • , Julien Gillet
  • , Antoine Hamy
  • , Amine Lahmidi
  • , Mohamed Sebbagh
  • , Antoine Bres
  • , Nicolas Girard
  • , Aurélie Desjouis
  • , Nadjib Ainseba
  • , Julien Epailly
  • , Fabienne Huysman
  • , Maud Dezeustre
  • , Alexandre Doussot
  • , Célia Turco
  • , Diane Bourrhis
  • , Camille Godet
  • , Morgane Finocchi
  • , Yoan Marion
  • , Gil Lebreton
  • , Flavie Benard
  • , Elodie Pineau
  • , Véronique Bouvier
  • , Olivier Dejardin
  • , Pablo Ortega Deballon
  • , Nathan Moreno-Lopez
  • , Patrick Rat
  • , Bassem Makar
  • , Paola Fara
  • , Marc Pompilio
  • , Hugo Hertault
  • , Corentin Guezennec
  • , Habchi Saida
  • , Alexandre Brinza
  • , Laurent Plard
  • , Antoine Ailhaud
  • , Léa Gutierrez
  • , Vincent Venchiarutti
  • , Jean-Luc Faucheron
  • , Bertrand Morin
  • , Bertrand Pech de la clause
  • , Eglantine Voitellier
  • , Guillaume Gagnat
  • , Barbara Noiret
  • , Constance Laroye
  • , Guillaume Piessen
  • , Katia Lécolle
  • , Jean Robert
  • ,  Nzamushelepanmabla
  • , Perrine Engel
  • , Muriel Mathonnet
  • , Cyprien Rodriguez
  • , Ammar Makki
  • , Anne-Cécile Couchard
  • , François Duramé
  • , Cécile Marceau
  • , Jean-Christophe Paquet
  • , Vahan Kepenekian
  • , Guillaume Passot
  • , Olivier Glehen
  • , Ninon Wallach
  • , Kayvan Mohkam
  • , Marie-Caroline Blanc
  • , Stéphane Berdah
  • , Mathilde Aubert
  • , Ahmet Ayav
  • , Hervé Chanty
  • , Alexandre Didier
  • , Estelle Vigneron
  • , Noémie Périard
  • , Marie Thaumoux
  • , Océane Grenouilloux
  • , Seila Fall
  • , Sophoclis Thomareis
  • , Chloé Marsollier
  • , Michel Prud’homme
  • , Christos Antonopulos
  • , Simon Msika
  • , Marie Monsinjon
  • , Massimo Giacca
  • , Antoine Cazelles
  • , Mehdi Karoui
  • , Valentina Malerba
  • , Ibrahim Dagher
  • , Nicola de Angelis
  • , Francesco Brunetti
  • , Omar Ahmed
  • , Jean-Marc Ferraz
  • , Yassir Ramjaun
  • , Christine Denet
  • , Basile Fuchs
  • , Daniel Pietrasz
  • , Pénélope Raimbert
  • , Juliette Benedetti
  • , Chloé Coton
  • , Hélène Corte
  • , Aude Medrignac
  • , Daphné Chavrier
  • , Robin Girard
  • , Julia Berthelot
  • , Matthieu Monge
  • , Eloïse Papet
  • , Jean Pinson
  • , Elise Dolbeau
  • , Jean-Jacques Tuech
  • , Julien Chautard
  • , Mathilde Boullier
  • , François Goujard
  • , Laurent Perrot
  • , Ludovic Loge
  • , Jean-Michel Petiot
  • , Simone Mandefredelli
  • , Diane Charleux-Muller
  • , Guillaume Sauvinet
  • , Jean-Baptiste Bertin
  • , Louis Vincent
  • , Blandine Simeu
  • , Jean-Baptiste Delhorme
  • , Cécile Brigand
  • , Serge Rohr
  • , Manon Bouchet
  • , Jean-Pierre Duffas
  • , Laurent Ghouti
  • , Antoine Philis
  • , Guillaume Portier
  • , Elias Karam
  • , Nicolas Michot
  • , Alice Artus
  • , Emilien Mauny
  • , Pierre-olivier Jouppe
  • , Céline Bourbao-Tournois
  • , Hugo Barbin
  •  & Julien Thiery

Contributions

All authors were involved in the conception, design, data collection, and writing of the study. Concept and design of the study: Camille Gil, Mehdi Ouaïssi, Laura Beyer-Bergeot, Charles Sabbagh, Urs Giger, Arnaud Alves. Statistical analysis: Mehdi Ouaïssi. Data collection: Philippe Zerbib, Valérie Bridoux, Gilles Manceau, Yves Panis, Etienne Buscail, Aurélien Venara, Iman Khaoudy, Martin Gaillard, Manon Viennet, Alexandre Thobie, Benjamin Menahem, Clarisse Eveno, Catherine Bonnel, Jean-Yves Mabrut, Bogdan Badic, Camille Godet, Yassine Eid, Emilie Duchalais, Zaher Lakkis, Eddy Cotte, Anaïs Laforest, Véronique Defourneaux, Léon Maggiorri, Lionel Rebibo, Niki Christou, Ali Talal, Diane Mege, Cécile Bonnamy, Adeline Germain, François Mauvais, Christophe Tresallet, Jean Roudie, Alexis Laurent, Bertrand Trilling, Bertrand Martin, Damien Massalou, Benoit Romain, Hadrien Tranchart. Data analysis: Camille Gil, Mehdi Ouaïssi, Laura Beyer-Bergeot, Charles Sabbagh, Urs Giger, Arnaud Alves. Drafting the manuscript: Camille Gil, Mehdi Ouaïssi, Urs Giger. Author of the manuscript: Camille Gil, Mehdi, Ouaïssi, Urs Giger. Supervision of the manuscript: Ouaïssi Mehdi, Alves Arnaud, Beyer-Bergeot Laura, Sabbagh Charles, Giger Urs.

Corresponding author

Correspondence to Mehdi Ouaissi.

Ethics declarations

Ethics approval and consent to participate

This study was approved by the local comity of informatics and liberty (CIL) (n°920361). According to the French law (Code de la santé publique, Article R1121–1 Modifié par Décret n°2017–884 du 9 mai 2017 - art.2), no permission of the IRB for this purely retrospective study was required. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Consent for publication

Not applicable.

Competing interests

The authors declare no competing interests. The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article.

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Gil, C., Beyer-Bergeot, L., Sabbagh, C. et al. Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study. Int J Colorectal Dis 38, 276 (2023). https://doi.org/10.1007/s00384-023-04564-w

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