Mumbai: During the first wave in Mumbai in 2020, when a little known about Covid -19, the doctor in the JJ Hospital group managed by the state conducted 51 autopsy on the victim using a minimum invasive technique instead of cutting SARS2 bodies to understand how the virus was open , affect various organs.
On Wednesday, their findings were published in indexed medical journals, ‘Surgical and Experimental Pathology’.
This study stipulates that the minimum invasive method is as effective with the open method to determine the cause of death, and show lumps and inflammation in various organs other than the lungs.
Of the 51 victims (29 men and 22 women), 43 patients over 40 years old and 44 ventilator support needed.
Most of them have comorbid conditions such as diabetes, hypertension and chronic kidney disease.
In 90% (44) the patient, the study team found lung damage, and the evidence of the heart muscle was influenced by the virus in 39 patients.
Covid accelerates the development of the disease, the study of study studies in the JJ Hospital group conducted 51 autopsies to victims of Covid-19 to understand how the SARS2 virus affected various organs.
Viruses affect the kidneys 24 victims, while 29 shows change of liver.
“A series of minimum invasive autopsy in Covid-19 patients is the largest in the world so far,” said the lead author of this study, Dr.
Ajay Bhandarwar, head of the JJ Hospital General Surgery Department.
When Dr.
Bhandarwar, along with the head of the pathology of Dr.
Sanjay Bijay and Radiology Head Dr.
Shilpa Domkundwar, began research in August 2020, only doctors in Italy who carried out a similar autopsy and announced that Covid-19 triggered blood clotting which led to death.
Some autopsies have been carried out at teaching hospitals in Bhopal, Ahmedabad and New Delhi (Council of India for medical research advising the open autopsy of Covid victims due to higher risk).
“Pathological involvement of various organs in microscopic analysis supports our findings that Covid-19 infection is a multi-organ process involving the lungs, kidneys, liver, heart and spleen, and maybe, in fact, resulting in pathological changes in other organ systems Not checked in our study, “said Dr.
Bijwe.
The team carried out an autopsy at St George Hospital, which was a Covid Hospital, while the JJ Hospital in Byculla was a non-covid hospital.
“In two hours after death occurred, we must contact the victim’s family and request permission for autopsy,” said one of the authors, Dr.
Nikhil Dhimole.
While the victim’s family was initially hesitant, the fact that the body would not be cut openly helped change the mind of 51 families.
The autopsy was carried out in the covid side room, with doctors from the Department of Radiology and the operation to collect networks from various organs using a biopsy needle under the ultrasound guide.
More importantly, this study found the development of Covid-19 acceleration disease.
In four patients who were recently diagnosed with kidney problems, their autopsy found Covid-19 infection had worsened their kidney function.
Incidentally, when the study was being carried out between August and November 2020, 38 doctors from the General Surgery Department were influenced by Covid-19.
“There is no way to connect the autopsy to our contract because we will work in Covid Wards for hours every day,” said a doctor.