More Related Content Similar to Surgery Audit 2013 Similar to Surgery Audit 2013 (16) More from All India Institute of Medical Sciences More from All India Institute of Medical Sciences (20) Surgery Audit 20132. DISTRIBUTION OF RED AREA PATIENTS
TRAUMA SURGERY PTS
ADMITTED TRANSFER OUT DISCHARGED
2013 525 33 02
2012 242 25 03
2011 200 10 1
4. Interventions
ED Interventions( 2012)
Procedure No
Suturing 22188
ICDT insertion 265
Cricothyroidotom
y
15
Venous cut-down 4
SPC 24
ED Interventions (2013)
Procedure No
Suturing 15162
ICDT insertion 146
Cricothyroidoto
my
05
Venous cut-
down
7
SPC 11
ED Interventions (2011)
Procedure No
Suturing 21451
ICDT insertion 214
Cricothyroidotom
y
8
Venous cut-down 02
SPC 19
6. MODE OF INJURY
585
140
255
60 60
709
320
210
20
50
624
122
189
27 40
0
100
200
300
400
500
600
700
800
RTI Fall from
height
Assault self inflicted Accidental
2013
2012
2011
8. 2 Wheeler RTI
2013 2012
RIDER
(n=212)
PILLON
(n=40)
RIDER
(n=270)
PILLON
(n=63)
HELMET 190 25 167 29
WITHOUT
HELMET
22 15 103 34
10. Abdominal Trauma
Part involved 2013 2012 2011
Solid
Organ(Liver
&Spleen)
Single
Organ
277 247 210
Multiple
Organs
21 33 24
Hollow
Viscera
131 154 90
Genito-
urinary
107 78 67
Pancreatico-
duodenal
17 19 21
12. Management of liver trauma
2013 2012 2011
mortality 9 19 20
MANAGEMENT
2013 2012 2011
OM 16 29 28
OM + EMB. 07 9 0
EMBOLIZATION 22 16 12
NOM 60 87 58
Laparotomy for
other injuries
09 19 5
18. HOLLOW VISCUS PROCEDURES 2013 2012 2011
Esophagus Primary Repair 2 2 1
Cervical
esophagostomy
2 3 1
Stomach Repair 6 7 4
Jejunum Repair 9 20 12
RA + FJ 20 25 16
Ileum Repair 6 12 4
RA 7 13 4
Ileostomy 17 9 8
Colon+rectum Repair 4 10 3
RA 5 9 3
End colostomy 18 10 12
Loop colostomy 14 8 6
Stoma closure
(routine - OT )
Ileostomy
reversal
9 12 4
Colostomy
reversal
12 17 1
21. Operative management
OPERATIVE
2013 2012 2011
DISTAL PANCREATECTOMY 05 6 2
DISTAL PANCREATECTOMY WITH
SPLENECTOMY
01 2 4
DEBRIDMENT + NECROSECTOMY 01 2 1
WHIPPLES’ PROCEDURE 02 0 1
TRIPLE TUBE DRAINAGE 02 5
UNCINATE PROCESS EXCISION
+RESECTION OF D4 PART OF
DUODENUM
0 1 3
2013 2012 2011
mortality 2 3 3
23. UROLOGY
MANAGEMENT 2013 2012 2011
KIDNEY(42) Nephrectomy 03 5 5
NOM 24 31 25
Exp Lap for other indication 3
AE 2 0
Laproscopic renorrrhaphy 1 0 0
URETER DJ stenting 6 3 2
REPAIR&DJ 3 1 2
BLADDER
(43)
REPAIR 12 10 7
REPAIR&SPC 12 17 11
SPC 13 9 8
Laser lithotripsy 06 0 0
25. LAPROSCOPIC AND ENDOSCOPIC PROCEDURES
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) AND FIBRE OPTIC BRONCHOSCOPY FOR LUNG COLLAPSE
26. LAPROSCOPIC AND ENDOSCOPIC PROCEDURES
2013 2012 2011
Diagnostic lap 26 8
Lap hernioplasty
(elective)
4 2
Lap
cholecystectomy
3
Lap
diaphragmatic repair
3 2
Lap small bowel
perf. repair
1
Lap foreign body
removal(needle)
1
Upper GI
endoscopy
1 3
PEG 2 2
Bronchoscopy 16
28. Thoracic Trauma
2013 2012 2011
Non-
operative
cases
345 358
With ICD 280 335
Without
ICD
65 23
2013 2012 2011
VATS 1 6 2
Epidural 82 93
Descending thoracic aorta
stenting
1 1 0
Diaphragma
-tic repair
abdominal
approach
6 4
laproscopic 3 2
29. 2013 2012 2011
Operative 13 32
INDICATION
FOR
THORACOTOMY
Pneumonecto
my
01 3 2
Lobectomy 01 1 1
Bronchial
repair
03 1
Massive
Hemothorax
06 6 7
Resuscitative
thoracotomy
5 7
Thoracoplasty 2
Decortication 5 7
F.B removal 3 1
34. PERIPHERAL VASCULAR INJURY
TIME SINCE
INJURY
<6HRS >6 HRS
2013 2012 2011 2013 2012 2011
Upper
limb
Cases 52 39 24 16 26 20
Amput
ation 07 2 1 05 4 4
Lower
limb
Cases 18 22 7 09 15 11
Amput
ation 05 3 1 06 9 4
35. VESSEL INVOLVED
VESSEL INVOLVED 2013 2012 2011
Brachial Artery 16 10 17
Radial Artery 22 12 11
Ulnar Artery 24 14 12
Radial+Ulnar Artery 6 3 4
Femoral artery 17 12 13
Popliteal Artery 10 6 5
36. CENTRAL VASCULAR INJURY
2013 2012
VESSEL
INVOLVED
NO MANAGEMENT NO MANAGEMENT
Axillaty
art./SUB
CLAVIAN
04 Repair 2 cases
1 - expired(<6hrs),NOM
-1( >24hrs),Amputation
-1
03 REPAIR , STENTING , NOM
DTA 01 Stenting
IVC 03 Repair- 3cases
(mortality -1)
02 REPAIR
IIA 03 Ligated-2,repair -1(<6
hrs)
1 ligated
HEPATIC
ARTERY
03 Ligation (<6hrs),Repair-
2 c ases <6hrs
Aorta 3 NOM-2, stenting
38. NECK INJURIES
2013 2012 2011
TRACHEAL REPAIR +
TRACHEOSTOMY
6 2 1
LIGATION OF INT JUG VEIN 01 2
F.B REMOVAL 02 2 0
NON THERAPEUTIC
EXPLORATION
02 3 1
CERVICAL
OESOPHAGOSTOMY
02 2
PRIMARY REPAIR OF
HYPOPHARYNX
02 2 0
TRACHEAL REPAIR +CERVICAL
ESOPHAGOSTOMY
03 1 4
HEMITHYROIDECTOMY 1 0
NOM 5 8 3
39. 2013 2012
CBD injury (blunt)
(1.CBD mid part
transection)
(2.CBD contusion &
perforation –mid part)
2 Infant feeding tube put
inside for drainage
T Tube drainage
1 ERCP
stenting
GB perforation
2013 2012
GB Penetrating 5 Cholecystectomy 2 Cholecystec
tomy
Blunt 4 Cholecystectomy 1 Cholecystec
tomy
GB gangrene 2 cholecystectomy Incidental
stones - 1
cholecystec
tomy
EXTRAHEPATIC BILIARY SYSTEM
45. Early mortality( < 6Hrs )
32
HS
88%
Severe Head
injury
6%
Cardiac Injury
6%
MEAN ISS – 48.61
48. OUR WORKFORCE
Non acad
JRs –
Sanctione
d
Acad JRs SRs Pool
Officer
Trauma
fellow
Consultan
ts
2011 10 3-4 18 0 1 5
2012 30 3-4 18 0 1 5+2
2013 30 3-4 18 1 1 5+2