GENERAL SURGEONS

Objectives: The objectives of this study were to find out the frequency ofsurgical cases and types of surgical interventions in a tertiary care hospital of Peshawar. StudyDesign: Descriptive observational study Period: Jan to June 2015. Setting: Surgical “D” Unitof Medical Teaching institution, Lady Reading Hospital Peshawar. Material and methods:Relevant information’s were recorded on a pre-designed proforma prepared in accordancewith the objectives of the study. Results: A total of 842 patients who were admitted in the MTILRHSurgical D Unit were enrolled in the study irrespective of age, gender and geographicalrepresentation. Out of total 58% were males and 42% females. The age range of patient wasfrom 2 years to 92 years the maximum. The mean of age with SD was 30 years +3.5 SD. Modeof age was 27 years. The frequency of surgical cases presentation (via emergency or outdoordepartment) were; Acute appendicitis 26%, cholilithiasis 17%, acute abdomen 9.2%, fire arminjuries/medico-legal cases 3.3%, peri-anal problems (pilonodal sinuses, hemorrhoids, fistula,anal fissure) 8.8%, Hernia (RIH& LIH 13%), carcinoma cases (stomach, rectum, pancreas) 1.5%,diabetic foot 3%, intestinal perforation & ileostomy 2.8%, etc. The frequency of types of surgicalprocedures were; The frequency of types of surgical procedures were; Open appendicectomy25%, Exploration laprotomy 8.4%, debridement 2%, Peri anal surgeries (EUA, Haemorridictomy,anal dilatation, fistulectomy 9.4%), hernirraphy and hernitomy 16%, open cholecystectomy 13%,laproscopic cholecystectomy 4.4%, orchiodectomy & orchidopexy 5%, and colostomy reversal2.2% etc. 2% patients managed conservatively. Eight patients expired during the treatment(1%). 97% discharged satisfactorily. There were 2 medico-legal cases that after dischargedwent in law in forces custody. Conclusion: The commonest cause of seeking surgical carewas acute abdomen, FAI/MLC, cholilithiases, perianal disorders, hernia and testicular/scrotalproblem are major surgical emergencies that we receive in our unit. In response the major typesof surgical interventions are appendicectomy, Exploration laprotomy, open cholecystectomy,laproscopic cholecystectomy, hernirraphy and hernitomy, orchiodectomy &orchidopexy andcolostomies. There is 1% moratlity rate as observed.