scholarly journals Pattern of Surgical Cases and its Management in Bacha Khan Medical Complex Shahmansoor Swabi

2017 ◽  
Vol 4 (1) ◽  
pp. 8-12
Author(s):  
Arshad Amin ◽  
Faiz -Ur- Rahman ◽  
Fazli Junaid ◽  
Shahid Nisar
Keyword(s):  
Urinary Tract ◽  
General Surgery ◽  
Alimentary Tract ◽  
Surgical Care ◽  
Vascular Diseases ◽  
Thyroid Diseases ◽  
Breast Diseases ◽  
Pancreatic Diseases ◽  
Thoracic Diseases ◽  
Surgery Department

OBJECTIVETo study the pattern of general surgery cases and their management in Bacha Khan Medical Complex Shahmansoor Swabi.METHODSThis descriptive cases-series study was conducted prospectively in general surgery department Bacha Khan Medical Complex Shahmansoor Swabi form jan, 2013 to Dec, 2015. There were 1200 patients in the series who were managed either conservatively or operated upon. All patients with symptoms suggesting a surgical disease and managed as a surgical case were included, while cases that were referred to other departments and those that left against medical advice were excluded.RESULTSMost of the patients had alimentary tract diseases 361(30%) followed by urinary tract diseases 264 (22%),superficial lumps 142 (11.8%), hernia 140 (11.7%), hepato-biliary-pancreatic diseases 116 (9.7%), breast diseases 55 (4.6%), scrotal diseases 41 (3.4%), thyroid diseases 28 (2.3%),salivary gland diseases 15 (1.3%), vascular diseases 8 (0.7%), thoracic diseases 2 (0.2%) and miscellaneous 28 (2.3%). A total of 604 (64.5%) patients were treated as elective cases and333 (35.5%). were treated as emergency cases. As many as 937 (74.08%) patient were treated by operations and 263 (21.92%) patients by conservative treatment, while 41 (3.41%) patients were referred. Seven patients expired, giving a mortality rate of 0.58%.CONCLUSIONThe commonest cause of seeking surgical care was alimentary tract diseases, followed by urinary tract diseases, superficial lumps, hernias, hepato-biliary-pancreatic diseases, breast diseases, scrotal diseases and thyroid diseases. Bacha Khan Medical Complex Shahmansoor Swabi is a newly established hospital catering to the needs of population of district Swabi and adjoining districts and areas.

scholarly journals 579 The Impact of Coronavirus 2 (SARS-CoV-2) in Emergency Surgery. Our experience at the General Surgery Department in Queen Elizabeth Hospital, London

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Chatzikonstantinou ◽  
M David ◽  
A Pouncey ◽  
F Aljarad ◽  
P Sorelli
Keyword(s):  
General Surgery ◽  
Emergency Surgery ◽  
Surgical Care ◽  
Emergency Operation ◽  
Queen Elizabeth Hospital ◽  
Local Data ◽  
Number Of Patients ◽  
Few Data ◽  
Surgery Department ◽  
The Impact

Abstract Background The outbreak of the COVID-19 has had global impact on elective and emergency surgical care. So far, we possess few data to understand the effect of the CoViD-19 on emergency surgery. Aim To compare the total number of patients who were referred, admitted, and had an emergency operation under General Surgery (GS) between March and May 2020, to the same period between 2016-19. Method Retrospective analysis of prospectively collected local data from surgical take lists and operative data obtained from the hospital’s Business Intelligence Team. Results A 22.4% reduction was seen in the referrals per day 15.18+/-2.45 vs. 11.77 +/- 4.54 (2016-9 vs. 2020, mean+/-SD) and a 36% reduction in admissions per day 7.40 +/-1.07 vs. 4.69+/- 2.03 (2016-9 vs. 2020, mean+/-SD). A 55% reduction in the total number of emergency operations during the CoViD-19 outbreak was observed 87 (total, 2020) vs. 194+/-35.96 (mean+/-SD, 2016-19). Conclusions CoViD-19 had a significant impact on the number of patients presenting to GS. Interestingly, an even greater reduction in operative treatment was also observed. This may reflect reduction in theatre availability or use of a higher threshold for conservative treatment.

Complications of Abdominal Surgery, Study Carried Out in the Eastern Region of the Democratic Republic of the Cong

2021 ◽  
pp. 1-3
Author(s):  
Aymar CA ◽  
Gentil DR ◽  
Ami MM
Keyword(s):  
Abdominal Surgery ◽  
General Surgery ◽  
Surgical Care ◽  
Postoperative Management ◽  
Eastern Region ◽  
Age Group ◽  
Management Of Complications ◽  
Surgical History ◽  
Surgery Department

Background: In some regions like ours, the complications from abdominal surgery are important indicators of the quality of surgical care, particularly in general surgery. The objective of our work is to study the complications of abdominal surgery. Methods: This is a retrospective and descriptive study carried out in the general surgery Department of the Skyborn Hospital Center, over a period of 5 years, period from March 2016 to April 2021, with a total of 286 patients. Results: A total of 286 patients having participated in our study, we found that the male sex occupies 186 cases, the age group of the age group between 21 and 40 years occupies the first place, the cesarean with 42% was the first the surgical history, the surgical site infection and wound infection was the first postoperative complications with 64%. 91.6% of patients left the hospital without any particularity and 75.4% of patients received surgical treatment for the management of complications. Conclusion: The delay in the management or non-prevention of complications is an important factor in the occurrence of complications from abdominal surgery. Good postoperative management of the operative site and the surgical wound can prevent and avoid complications of abdominal surgery

Use of Synthetic Protetic Materials in Surgical Abdominal Defects. Analysis of the Advantages and Lack of the Liechtenstein Method

2018 ◽  
Vol 69 (7) ◽  
pp. 1740-1743
Author(s):  
Vlad Dumitru Baleanu ◽  
Denis Vlad Constantin ◽  
Anca Pascal ◽  
Dragos Ovidiu Alexandru ◽  
Simona Bobic ◽  
...  
Keyword(s):  
Relative Risk ◽  
Recurrence Rate ◽  
General Surgery ◽  
Prosthetic Material ◽  
Emergency Hospital ◽  
Rural And Urban ◽  
Abdominal Interventions ◽  
Defects Analysis ◽  
Surgery Department

Liechtenstein procedure represents the most frequent technique used for surgical abdominal interventions. Although, it is a modern and inovative procedure, it still has a relative risk for complications. A number of 93 subjects were included in our research. We develop our study in General Surgery Department of County Emergency Hospital of Craiova, Romania between 1st July 2017-31th March 2018. From the total of 93 patients, 88% were men. Most of subjects had ages between 70 and 79 years old, were operated by Liechtenstein technique and they were coming from quite equal percent from rural and urban areas.The incidence for complications(seroma, hematoma, infection, abscess) was generally lower for the patients diagnosticated with Liechtenstein procedure comparing with the subjects operated by other technique. Liechtenstein procedureis recommended especially for its simplicity and efficiency, reproducibility and safety. It is very important to choose the perfect synthetic prosthetic material to have a good evolution of the disorder and a small recurrence rate.

scholarly journals 892 Emergency General Surgical Practice at a District General Hospital during COVID-19 Pandemic: Implementing Royal College of Surgeons Guidance

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
K Hashmi ◽  
S Khalid ◽  
K Raja ◽  
A Zaka ◽  
J Easterbrook
Keyword(s):  
Informed Consent ◽  
Royal College ◽  
Mortality Risk ◽  
General Surgery ◽  
Surgical Care ◽  
District General Hospital ◽  
Emergency General Surgery ◽  
Surgical Practice ◽  
Full Compliance ◽  
Type Of Surgery

Abstract Introduction COVID-19 pandemic had a significant impact on surgical practice across NHS. RCS released guidance on altering surgical practise during the pandemic to deliver safe surgical care in March, 2020. We present an audit conducted at a DGH comparing practice of emergency general surgery (EGS) with RCS guidance at the peak of COVID-19 pandemic. Method Consecutive patients undergoing EGS from 1st April to 15th May,2020. Data of demographics, ASA grade, comorbidities, type of surgery, hospital stay, informed COVID-19 pneumonia consent, complications and 30-day mortality were collected. Pre- and post-operative COVID-19 status was determined. Results Forty-four (n = 44) patients, mean age 47.5 and IQR (26-69). Male (55.8%) and females (44.2%). Preoperative COVID19 status was confirmed in around 79.1% patients. All (100%) patients who underwent CT imaging preoperatively had CT chest performed. Informed consent for COVID19 pneumonia was taken in 4.7% patients. 30-day mortality risk was 7% and complications risk was 4.7%. RR of 30-day mortality in preoperative COVID19 status positive patients was RR = 0.92 (CI 0.85-1.01) and for complications was RR = 0.95 (CI 0.88-1.02). Conclusions RCS guidance on managing and altering practice in EGS during COVID-19 pandemic is reliable, implementable, and measurable in a DGH setting. Simple improvements in consent process can achieve full compliance with RCS guidelines.

scholarly journals Results of Rendering Medical Aid to Victims With Penetrating Heart Injuries at the General Surgery Department

2018 ◽  
Vol 26 (4) ◽  
pp. 502-508
Author(s):  
B.О. Маtviychuk ◽  
◽  
Yu.Y. Holyk ◽  
Y.M. Knysh ◽  
V.Т. Bochar ◽  
...  
Keyword(s):  
General Surgery ◽  
Medical Aid ◽  
Heart Injuries ◽  
Surgery Department

scholarly journals Medications' Prescribing Pattern in the General Surgery Outpatient Department

2021 ◽  
pp. 1-4
Author(s):  
Nehad J. Ahmed
Keyword(s):  
General Surgery ◽  
Public Hospital ◽  
Continuous Monitoring ◽  
Outpatient Surgery ◽  
Outpatient Department ◽  
Prescribing Pattern ◽  
Drug Classes ◽  
Amoxicillin Clavulanic Acid ◽  
Surgery Department ◽  
Pharmacy Prescriptions

Aim: The aim of this study was to evaluate the drugs’ prescribing pattern in general surgery department of a public hospital in Alkharj. Methodology: The present retrospective study included collecting data from the general surgery outpatient pharmacy prescriptions from a public hospital in Alkharj from 1st of June 2018 to 31th December 2018. Results: The total number of outpatients who received prescriptions from general surgery outpatient department was 319. Most of them were males (52.35%) and aged less than 50 years (79.31%). Most of the prescriptions were written by residents (47.02). The most prescribed medication was paracetamol (21.32%) followed by amoxicillin/clavulanic acid (12.85%), ciprofloxacin (12.85%), and metronidazole (6.27%). Conclusion: The study showed that antibiotics and analgesics were the most commonly prescribed drug classes in outpatient surgery department. Continuous monitoring for the prescribing of these drugs is essential to increase the wise use of these medications. More awareness workshops and educational programs for surgeons are needed for the prescribing of these drugs.

scholarly journals Nomogram Predicting Overall Survival After Surgical Resection For Retroperitoneal Leiomyosarcoma Patients

2021 ◽  
Author(s):  
Aobo Zhuang ◽  
Hanxing Tong ◽  
Yuan Fang ◽  
Lijie Ma ◽  
Weiqi Lu ◽  
...  
Keyword(s):  
Public Health ◽  
Overall Survival ◽  
Surgical Resection ◽  
General Surgery ◽  
Cox Regression ◽  
Concordance Index ◽  
Clinical Center ◽  
Surgery Department ◽  
Actual Survival ◽  
Good Agreement

Abstract Aim: To develop a survival nomogram for patients with retroperitoneal leiomyosarcoma (RLMS) after surgery.Methods: 118 patients with RLMS after surgical resection at the General Surgery Department, Shanghai Public Health Clinical Center, Fudan University were retrospectively analyzed. The nomogram was constructed based on COX regression model and discrimination was assessed using the concordance index (c-index). The predicted and actual survival was evaluated through calibration plots.Results: The c-index of the nomogram was 0.779 (95% CI, 0.659-0.898). The predicted and actual survival probabilities are in good agreement in all calibration curve.Conclusion: This study built the first survival nomogram for patients with surgical resected RLMS.

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