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Mortality meeting

1. Mortality & Morbidity Meeting GI Unit-2 June, 2024 Dr. Mirza Afsana Yesmin Tithi Phase-B, Resident Surgical Oncology NICRH

2. Bed Statistics Allocated bed number (except cabin) : 16 Total admitted patient (Including Cabin): 24 Female- 6 Male-18 Total number of patient discharged :20 Total number of operation performed: 18 Routine:17 Emergency: 1

3. Routine operation Name of operation performed Number Total radical gastrectomy 2 Lower radical gastrectomy 4 Lower radical gastrectomy with transverse colectomy 1 Gastro-jejunostomy 1 Anterior resection 3 APER 1 Right hemicolectomy 1 Laparotomy followed by triple bypass with cholecystectomy 1 Ivor-Lewis 1

4. Routine operation Name of operation performed Number Feeding jejunostomy 1 Herniorrhaphy with refashioning of stoma ( parastomal hernia ) 1 Total 17

5. Emergency Operation Name of operation Number Laparotomy followed by loop ileostomy Indication: Acute intestinal obstruction due to recurrent ca right colon. 1

6. Morbidity: 01 Mortality: 00

7. MORBIDITY

8. Mrs. Hosne Ara, 55 Years DOA: 29.05.24 Date of Operation: 13.06.24 Dx: Ca Duodenum with previously diagnosed case of Ca Rt colon. (status post Rt hemicolectomy, adjuvant CT for ca right colon). Name of operation: Laparotomy followed by triple bypass with cholecystectomy.

9. Findings: Severe bands and adhesion through out the abdomen. Gall bladder was distended. Multiple metastatic deposit was present in inferior surface of left lobe of liver. No Ascites or pelvic deposit was found. There was growth in 2 nd part of duodenum about 4*3 cm adhere with pancreas, stomach.

10. Events: Post operative recovery was uneventful upto 3 rd POD. From 4 th POD bile was coming through drain tube.(Initially drain collection was 500ml/24hr, gradually decreasing but in not significant amount, 350-400ml/24hr) Patient is haemodynamically stable. Routine investigations were done. Hb%- 9.0 gm/dl S. albumin- 1.6 gm/dl S. Electrolytes- within normal limit

11. Action Patient was managed conservatively. Transfusion of 3 units of FFP, 2 units of WB. Human Albumin 25% (100ml) Patient is now on semisolid diet.