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October/2023
General surgery
Department
PMC
 Total Number of patients admissions to the
General Surgery Department, in October
158 total
Clinic
• 84
Emergency
• 74
Admissions :
Gender
Distribution
73 male 85 female
System Affected
Upper GI
6
Hepatobiliary
55
Trauma
7
lower GI
33
Hernia
26
skin
16
Endocrine
8
Breast
7
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
Pancreatic tumor
complication
op
case
Atelcatsis with VAP
Whipple
Pancreatic mucinous cystic
neoplasm
non
Whipple
pancreatic duct
adenocarcinoma
LOWER GI CASSES:
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
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 :
OTHERS :
 4 ANAL FISSURE
 12 APPENDICITIS (2 OF THEM LAP APENDECTOMY)
UPPER GI
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
ENDOCRINOLOGY
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
SKIN
CONDITION
3
PERIANAL ABCESS
2
NECROTIZING FASCITIS
5
LIPOMA
6
PNS
HERNIA
NUMBER
CONDITION
2
INCARCERTAED
24
ELECTIVE
TRAUMA
7 PT ADMITTED AS ACASE OF TRAUMA
 1 CONSERVATIVE (HBS)
 1 DIED (PULMONARY HEMORRHAGE)
 6 UNDERWENT OPERATION (HBS)
BREAST
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
MORATLITY:
 1- MULTIPLT TRUMA  PULMONARY HEMORRHAGE
 1- CHOLANGITIS –SEPTIC SHOCK
Residency Teaching program:
• weekly score lectures
• Weekly protocol sessions
• Weekly MDT

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ppt.pptxgffcvjjnvvhjroyydogjrr5533466ykggckf