Introduction and Objective:

The rapid spread of COVID-19 has led to a radical reorganization of health resources. The present study seeks to see what was the impact of the COVID-19 pandemic on abdominal surgery at IGBJ-La Paz and COSSMIL.

Material and Methods:

An exploratory and descriptive, retrospective, crosssectional, comparative study was carried out in the IGBJ-La Paz and COSSMIL from March to October 2019 and 2020, data were obtained from the clinical records.

Results:

The study gathered 836 patients, 563 (67.34%) in the control group and 273 (32.66%) in the pandemic period, surgical procedures decreased from 2.3 to 1.2 reduced to the half the activity that had the control and a decrease of 51.5% with p: ,000, gallbladder surgeries decreased from 51.5% vs 45.4%, in addition to appendicular surgery from 84 (14.9%) to 68 (24.9%>)abdominal wall surgery 49 (8.7%) to 13 (4.8%) vs. p: .035. Elective procedures decreased from 331 to 79 (80.7% vs 19.3%) with p: .000, and emergency surgery decreased from 232 to 194 (54.5% vs 45.5%). Laparoscopic procedures decreased from 305 (70.4%) to 107 (26.0%) with a p: .000, the most used diagnostic test for COVID-19 in our environment is chest CT since PCR is less accessible. And that positive COVID-19 patients managed with surgery and hospitalization was 2.6%.

Conclusions:

During the COVID-19 pandemic, a reduction in the performance of abdominal surgery procedures was demonstrated, especially in elective and laparoscopic procedures, despite the fact that there is little scientific evidence that the smoke from the procedure could contain virus particles. Mortality was 2 elderly patients with pathologies that required urgent surgery. The most used diagnostic tests were chest CT together with antigen test

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