Incidence of post operative fever in patients undergoing elective and emergency general surgical procedures

The objective of the study was to determine the incidence of fever during postoperative period in patients undergoing elective and emergency general surgical procedures in Surgical Unit II of Sir Ganga Ram Hospital. Lahore. It was a clinical descriptive Study. The Study was conducted in Surgical Unit 11, at Sir Ganga Ram Hospital, Lahore Period of Study: March, 2007 to June 2008. A total of 100 patients who underwent various elective and emergency general surgical procedures were included in the study. The patients were selected randomly. 30 patients out of the 100 patients, develop fever in post operative period. Incidence is different in different age groups, sex and surgical procedures. The incidence of post operative fever is 30%. The highest incidence is seen in age group 51-60 years and in the patients undergoing general surgical procedure in emergency or receiving general procedure in emergency or receiving anaesthesia and in procedures lasting more than half an hour

Management of typhoid perforation

To Compare Primary repair and Ileostomy in patients with Typhoid perforation in terms of Morbidity and mortality in Sir Ganga Raam Hospital. Observational Comparison Study. 15[th] March 08 to 15[th] June 2009 in department of Surgery, Sir Ganga Ram Hospital Lahore. All the patients presented in surgical Emergency with typhoid perforation of all age groups and of both genders. Resuscitation followed by exploratory laparatomy with appropriate surgical procedure was done. 24 patients with typhoid perforation were observed with mean age group of 32 years. Male to female ratio of 3:1. Surgical intervention done was primary repair of perforation [N=9], Resection Ileostomy [N=12] and resection anastamosis [N=3]. Morbidity in term of hospital stay is high in patients with serious peritoneal contamination and in most cases resection Ileostomy has to be undertaken

Comparative study of management of common bile duct stone, our experience of 20 patients at sir Ganga Ram hospital Lahore

To compare different methods of management of CBD stones at Sir Ganga Ram Hospital Lahore i.e ERCP with pappilotomy, Sphinterotomy or removal through Dormia's Basket and Open Cholecystectomy with choledochotomy. It was observational comparative Study. The adult patients having CBD stones. One years i.e. from 15[th] June 2008 to 15[th] June 2009. The mode of management of these patients for common bile duct stones was absorved. The out come and complications of both techniques were compared. Total 20 patients were included in the study. Out of them 12 were managed by open cholecystectomy and choledochotomy and the remaing 8 were treated by doing endoscopic retrograde cholangiopancreaticogram [ERCP]. The out come of both techniques were than compared. In our Hospital the majority of the patients of CBD stones are being managed by open technique i.e. open cholecystectomy and choledochotomy along with T-tube insertion, which is contrary to the approach of developed countries i.e. endoscopic and laproscopic approach