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    Unit - I Audit

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    Nirav Bunha
    The audit summarizes activity in the general surgery unit from March 9th to 22nd, 2080. There were 256 total outpatient cases, with 148 new and 108 old cases. 12 elective surgeries and 15 emergency surgeries were performed. Notable procedures included 4 open appendectomies, a right limited hemicolectomy, 3 laparoscopic cholecystectomies, and an open cholecystectomy with splenectomy and devascularization. 5 cases involved malignancy. There were no reported mortalities and 16 patients were discharged.

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    Unit - I Audit

    Uploaded by

    Nirav Bunha
    7 views12 pages
    The audit summarizes activity in the general surgery unit from March 9th to 22nd, 2080. There were 256 total outpatient cases, with 148 new and 108 old cases. 12 elective surgeries and 15 emergency surgeries were performed. Notable procedures included 4 open appendectomies, a right limited hemicolectomy, 3 laparoscopic cholecystectomies, and an open cholecystectomy with splenectomy and devascularization. 5 cases involved malignancy. There were no reported mortalities and 16 patients were discharged.

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    unit -I audit (2)

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    The audit summarizes activity in the general surgery unit from March 9th to 22nd, 2080. There were 256 total outpatient cases, with 148 new and 108 old cases. 12 elective surgeries and 15 emergency surgeries were performed. Notable procedures included 4 open appendectomies, a right limited hemicolectomy, 3 laparoscopic cholecystectomies, and an open cholecystectomy with splenectomy and devascularization. 5 cases involved malignancy. There were no reported mortalities and 16 patients were discharged.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    7 views12 pages

    Unit - I Audit

    Uploaded by

    Nirav Bunha
    The audit summarizes activity in the general surgery unit from March 9th to 22nd, 2080. There were 256 total outpatient cases, with 148 new and 108 old cases. 12 elective surgeries and 15 emergency surgeries were performed. Notable procedures included 4 open appendectomies, a right limited hemicolectomy, 3 laparoscopic cholecystectomies, and an open cholecystectomy with splenectomy and devascularization. 5 cases involved malignancy. There were no reported mortalities and 16 patients were discharged.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    Audit

    2080-03-09 to 2080-03-22

    GENERAL SURGERY
    UNIT - I
    Prof. Dr. Yogendra Prasad Singh /
    Assoc. Prof. Dr. Bikal Ghimire/ Dr. Jayant K. Sah
    SUMMARY

    Total OPD cases:256


    New: 148
    Old: 108
    Elective Surgery:12
    Total New Admissions:
    OPD:10 Emergency
    Start of the
    ER :10 Surgery:5 End of the
    week : 11 trans in:3
    Minor surgery: 12 week :11
    Discharge :16
    Mortality:0
    LAMA: 0
    IP MANAGEMENT/ REMARKS/
    SN DOA DIAGNOSIS
    NUMBER PLAN COMPLICATION

    01 2080/02/22 707298 EHPVO with hypersplenism Open cholecystectomy with Discharged on


    28Y/F with cholelithiasis splenectomy with 6TH
    POD
    OPD devascularization

    02 2080/03/06 707069 Carcinoma gall bladder Extended cholecystectomy On POD 12


    52Y/M (cT2N0M0) with extended right
    OPD hemicolectomy

    03 2080/03/02 708287 Segmental ascending colon Rt limited hemicolectomy POD 16


    ischemia with pancytopenia with ileocolostomy
    with CAP

    04 2080/03/15 709362 Ampullary carcinoma with S/P PTBD On 8th DOA


    74Y/F HTN with T2DM
    MANAGEMENT/ REMARKS/
    SN DOA IP NUMBER DIAGNOSIS
    PLAN COMPLICATION
    05 2080/02/28 708007 Post operative adhesive bowel Exploratory laparotomy Discharged on
    60Y/M obstruction with COPD with and Adhesiolysis POD 9
    ER HTN

    06 2080/03/05 708527 Mucinous neoplasm of Right hemicolectomy Discharged on


    62Y/M appendix POD 12
    OPD

    07 2080/03/11 709241 Mild acute on chronic Plan: Puestow On 11th DOA


    45Y/F pancreatitis with T2DM procedure on Sunday
    Taken over
    from unit II
    08 2080/03/13 709731 Acute Necrotizing pancreatitis conservative On 9th DOA
    46Y/M
    ER
    (taken over
    from unit II)
    Management/ Remarks/
    SN DOA IP number Diagnosis
    Plan Complication

    09 2080/03/16 709435 Mild acute calculus Conservative Discharged on


    41Y/M Cholecystitis 3rd DOA
    ER

    10 2080/03/11 709030 Symptomatic cholelithiasis Laparoscopic Discharged on


    41Y/F, cholecystectomy POD 1
    OPD

    11 2080/03/13 709184 Symptomatic cholelithiasis Laparoscopic Discharged on


    54Y/F cholecystectomy 2nd POD
    OPD

    12 2080/03/19 709766 Symptomatic cholelithiasis Laparoscopic Discharged on


    26Y/F with hypothyroidism cholecystectomy POD 1
    OPD
    Management/ Remarks/
    SN DOA IP number Diagnosis
    Plan Complication
    13 2080/03/19 709743 Resolved appendicular Interval appendectomy Discharged On
    40Y/M abscess POD 1
    OPD

    14 2080/03/16 709443 Acute appendicitis Emergency open Discharged On


    32Y/M appendectomy POD 1
    ER
    15 2080/03/20 709797 Acute appendicitis Emergency open Discharged On
    24Y/F appendectomy POD 1
    ER
    16 2080/03/09 708861 Acute appendicitis Emergency open Discharged on
    32Y/M appendectomy POD 1
    ER

    17 2080/03/12 709127 Acute appendicitis Emergency open Discharged on


    20Y/F appendectomy POD 1
    ER
    SN IP Management/ Remarks/
    DOA Diagnosis
    28 number Plan Complication
    18 2080/03/12 709119 Left Indirect Inguinal Hernia Open hernioplasty Discharged on POD
    58Y/M 1
    OPD

    19 2080/03/13 709205 S/P INCISIONAL HERNIA WITH Open sublay mesh Referred to
    66Y/M ANEURYSMORRHAPHY WITH repair manmohan ER after
    OPD RT CIA ANEURYSM WITH LT CIA patient developed
    ECTASIA thrombus on right
    lower limb on 2nd
    POD

    20 2080/03/15 705674 Left femoral hernia with right Left hernioplasty On POD 1
    57Y/M scapular lipoma
    OPD
    IP Management/ Remarks/
    SN DOA Diagnosis
    number Plan Complication
    2080/03/20 709850 Chronic anal fissure Lateral sphincterotomy POD1
    40Y/M
    21 OPD

    2080/03/18 709688 S/P PTBD change and Cholangiography and On POD 2


    54Y/M stricturoplasty for HJ stricture stricturoplasty by IR
    22 OPD S/P open cholecystectomy
    with HJ for Mirrizi syndrome
    2080/03/11 700223 Steroid dependent ITP Laparoscopic On POD 5
    27Y/F Splenectomy
    23 OPD

    2080/03/12 709163 Acute appendicitis with partial Managing conservatively On DOA 11


    23Y/M small bowel obstruction
    24 ER
    SN IP nub/l Management/ Remarks/
    DOA Diagnosis
    28 mber Plan Complication
    25 2080/03/02 708265 Left leg cellulitis Conservative management Discharged on
    27Y/F 8th DOA
    ER

    26 2080/03/16 709436 Cellulitis of B/L leg with conservative management discharged on


    CAD-DVD S/P PCI OF LCX 6th DOA
    WITH HTN
    Malignancy Case:5
    Management/ Remarks/
    SN DOA IP No. Diagnosis
    Plan Complication
    1 2080/03/05 708527 Mucinous neoplasm of Right hemicolectomy Discharged on
    62Y/M appendix POD 12
    OPD

    2080/02/24 707226 Ampullary carcinoma with PTBD Insertion PPD 1


    74Y/F HTN with T2DM
    3 Taken over
    from GI
    medicicne
    2080/03/06 707069 Carcinoma gall bladder Extended On POD 12
    52Y/M (cT2N0M0) cholecystectomy with
    4 OPD extended right
    hemicolectomy
    Procedures
    Emergency surgery ( 5) • Open Appendectomy- 4
    • Right limited hemicolectomy with ileocolostomy--1

    Elective surgery (13) • Hernioplasty – 2


    • Laparoscopic cholecystectomy—3
    • Open cholecystectomy with splenectomy with devascularization-1
    • Extended cholecystectomy with extended right hemicolectomy-1
    • Right hemicolectomy-1
    • Interval appendectomy-1
    • Lateral sphincterotomy-1
    • laporoscopic splenectomy-1
    • Open sublay mesh repair-1

    Minor surgery( 20) Lipoma Excision: 7


    Sebaceous cyst Excision:5
    Corn-8
    THANK YOU

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