ANALYSIS OF EMERGENCY CASES DONE BY DEPARTMENT OF GENERAL SURGERY OF GIMS KALABURGI, KARNATAKA, INDIA

Abstract

Aims and objectives: 1. To know to the most common emergency cases operated. 2. Most common time of the day when the cases get operated 3. To know if Laparoscopic surgeries are being done as emergency procedures. Method: This is the prospective statistical analysis of the emergency cases operated in the GIMS, Kalaburgi from Oct 2022 to Oct 2023. The emergency OT cases done in our institute are collected and tabulated into Age of the patient, Diagnosis, type of surgery done, surgery done under what unit and time of the surgery and results are derived. All general surgical emergencies are included in the study and cases from the surgical super speciality emergency OTs are excluded from the study. Results: After tabulating, total cases operated on emergency basis were 698. Age groups most commonly presented were from 21-30 yrs(23%) followed by 31-40yrs(18%) and then 41-50yrs (14%) making 55% of all the cases. Most common procedure done was appendicectomy(Open)(159 cases)for acute appendicitis, appendicular perforation and appendicular abscess. Even Laparoscopic appendicetomy was also done in 10 cases, followed by debridments (149 cases) Incicion and drainage of abscess (136 cases) and then explorative laparotomy (80 cases) for multiple causes including Intestinal perforation, intestinal obstruction, Hemoperitoneum, GB perforation, volvulus, spleenectomy etc. 42 cases underwent orchidectomy, and 38 cases for amputations(above and below knee). 23 obstructed inguinal hernia cases were also operated. 313 cases were operated in the time slot C (6PM to 12AM) and followed by slot B (12PM to 6PM).. Conclusion: By our study we conclude that most common emergency cases operated in our institute is Appendectomy in the Time slot between 6 PM to 12 AM. In emergency condition laparoscopic procedures can also be done and the patient can be treated accordingly.