Spectrum of paediatric surgical cases and their outcome in a tertiary care hospital

Authors

DOI:

https://doi.org/10.3126/jpahs.v9i1.31129

Keywords:

Daycare Surgery, Mortality, Neonatal Surgery, Outcome, Paediatric Surgical Services

Abstract

Introduction: Paediatric surgical cases has been operated by general surgeon due to lack of paediatric surgeons. Complex cases in neonates and infants is being referred to other centres with paediatric surgical services. This study aims to compare the spectrum of paediatric surgical cases and their outcome before and after availability of paediatric surgeon.

Method: This is the Retrospective study conducted at Patan Academy of Health Sciences over a period of 4 years. Group 1 included surgeries during 1st 2 y before and Group 2 during 2nd 2 y period after the availability of paediatric surgeon. Ethical approval was obtained. Patient age, sex, diagnosis, operative procedure, type of surgery and outcome data were collected from operative theater register and patients file from medical record section. Data analysis was done using SPSS 16.

Result: Among 1157 cases, 369 cases were in group 1 and 788 in group 2. Male to female ratio was 2.8:1. Laparotomy 270(23.2%) was the most performed inpatient surgery and hernitomy 221(19.1%) in day care. There was total 52(4.5%) neonates, 2(4%) in group 1 and 50(96%) neonates in group 2. Among total cases mortality rate was 8(0.7%) in group 2, due to preterm birth, delayed presentation and septicemia.

Conclusion: Lower GI tract and skin and soft tissue were most common system involved. Laparotomy and incision and drainage were most performed surgery before and after availability of paediatric surgeon. There was 96% increment in neonatal cases (50 v/s 2) after availability of paediatric surgeon. Mortality was 8(0.7%) in group-2 due to delayed presentation and septicemia.

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Author Biographies

Anu Maharjan, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Lecturer, Department of Surgery, Patan Hospital

Prerana Kansakar, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Assistant Professor, Department of Paediatrics, Patan Hospital

Niraj Giri, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Lecturer, Department of Surgery, Patan Hospital

Shiva Prasad Sharma Chalise, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Assistant Professor, Department of Paediatrics, Patan Hospital

Samyukta KC, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Lecturer, Department of Surgery, Patan Hospital

Saroj Babu Pradhan, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Lecturer, Department of Surgery, Patan Hospital

Sucharita Tuladhar, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Lecturer, Department of Paediatrics, Patan Hospital

Sanjaya Paudyal, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Professor, Department of Surgery, Patan Hospital

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Published

2022-01-07

How to Cite

Maharjan, A., Kansakar, P., Giri, N., Sharma Chalise, S. P., KC, S., Pradhan, S. B., Tuladhar, S., & Paudyal, S. (2022). Spectrum of paediatric surgical cases and their outcome in a tertiary care hospital. Journal of Patan Academy of Health Sciences, 9(1), 32–39. https://doi.org/10.3126/jpahs.v9i1.31129

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Section

General Section: Original Articles