AN AUDIT OF LAPAROTOMIES;

Carried out in combined military hospital Panno Aqil over three years period

Abstract

Objective: To make an audit of laparotomies carried out at Combined Military Hospital Pano Aqil over a three year period.
Study design: Cross sectional, retrospective study. Place and duration of study: Study was carried out at surgical department of
combined military hospital Panno Aqil over a period of three years from Jan 2009 to Dec 2011. Patients and methods: Patients with
significant intra-abdominal pathology presenting as acute abdomen and who underwent laparotomy were included in study. Patients
were either electively admitted via outpatient department or through Accident and Emergency (A&E) department. Patient charts and
records were used to collect data. Results: All 174 patients underwent laparotomy. In (27.6%) cases, intestinal perforation was the
underlying cause; gynaecological pathology was found in (21.2%) patients. In 19.5% cases blunt and penetrating abdominal trauma was
the cause of acute abdomen. Acute intestinal obstruction was found in (21.3%), tumors were found in (7.9%) and miscellaneous causes
were identified in (2.3%) cases. Conclusions: Laparotomies carried out at Combined Military Hospital Pano Aqil fulfilled the evidence
based medicine criteria.