ppt.pptxgffcvjjnvvhjroyydogjrr5533466ykggckf

Ggg

1. October/2023 General surgery Department PMC

2. Total Number of patients admissions to the General Surgery Department, in October 158 total

3. Admissions :

4. Gender Distribution 73 male 85 female

5. System Affected Upper GI 6 Hepatobiliary 55 Trauma 7 lower GI 33 Hernia 26 skin 16 Endocrine 8 Breast 7

6. Hepatobiliary number Condition: 1 pt Hydatid cyst 22 pt gbs 8 pt(one case underwent open chole ) Acute cholangitis 17 pt Acute cholecystitis 7 pt Acute pancreatitis 2 pt Pancreatic tumor

7. Pancreatic tumor complication op case Atelcatsis with VAP Whipple Pancreatic mucinous cystic neoplasm non Whipple pancreatic duct adenocarcinoma

8. LOWER GI CASSES:

9. LOWER GI –TUMOR CASES- 4 PTs 1- PT HAD LOCALLY ADVANCED SIGMOID CA UNDERWENT ENBLOCK RESECTION (SIGMOIDECTOMY WITH LEFT SALPINGOOOPHERECTOMY) COMPLECATED WITH LEFT URETER INJUREY 1 PT HAD HEPATIC FLEXTURE MASS AND UNDERWENT OPEN EXTENDED RT HEMICOLECTOMY 1 PT HAD SIGMOID DIVERTICULOSIS AND UNDERWENT LAP SIGMOIDECTOMY 1 PT HAD UNDERWENT LAP RIGHT HEMICOLECTOMY

10. mangment number condition 2 opertaed ( adhesolysis the other frozen pelvis-loop ileostomy ) 9 Adhesive SBO One sent for stent Other operation with hartmann procedure 2 Large bowel obstruction Intestinal obstruction :

11. OTHERS : 4 ANAL FISSURE 12 APPENDICITIS (2 OF THEM LAP APENDECTOMY)

12. UPPER GI

13. 6 PT’s 1 PT DIAGNOSTIC LAP FOR DUODENAL MASS AND UNDERWENT DX LAP WITH FEEDING JUJENSTOMY 1 PT HAD GASTRIC NET AND UNDERWENT DISTAL GASTRECTOMY WITH D2 DISSECTION 1 PT HAD SLEEVE 1 PT HAD LAP NISSEN FUNDOPLICATION FOR HIATAL HERNIA 2 PERFORATED DU

14. ENDOCRINOLOGY

15. 6 pt’s 1- Parathyroid hyperplasia -  Lt lower parathyroidectomy 1-left thyroid nodule  lt hemithyroidectomy 1- PTC  TOTAL THYROIDECTOMMY WITH CENTRAL NECK DISSECTION 1- PAPILARY THYROID CA WITH LNS TOTAL THYROIDECTOMY WITH LATERAL NECK DISSECTION COMPLICATED WITH STRIDOR WHICH NEEDED REINTUBATION 1- MNG  total thyrodectomy 1- LEFT PAPILARY THYROID CA  LEFT HEMITHYROIDECTOMY

16. SKIN

17. CONDITION 3 PERIANAL ABCESS 2 NECROTIZING FASCITIS 5 LIPOMA 6 PNS

18. HERNIA

19. NUMBER CONDITION 2 INCARCERTAED 24 ELECTIVE

20. TRAUMA

21. 7 PT ADMITTED AS ACASE OF TRAUMA 1 CONSERVATIVE (HBS) 1 DIED (PULMONARY HEMORRHAGE) 6 UNDERWENT OPERATION (HBS)

22. BREAST

23. 7 CASES 1- FIBROADENOMA 2- RIGHT MASTECTOMY + SLNB 1- LEFT BREAST LUMPECTOMY + AXILLARY CLEARNACE 1- LT MRM 1- LUMPECTOMY WITH SLNB 1- FROM EMERGENCY DEPARTMENT SKIN NECROSIS S/P RADIOTHERAPY

24. MORATLITY: 1- MULTIPLT TRUMA  PULMONARY HEMORRHAGE 1- CHOLANGITIS –SEPTIC SHOCK

25. Residency Teaching program: weekly score lectures Weekly protocol sessions Weekly MDT