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
