LAPAROSCOPIC SURGERY:

NEW IBRA HOSPITAL EXPERIENCE

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 BACKGROUND

With the goal of providing additional and timely

surgical service, negating the need for referrals to the
tertiary hospital and prolonging the disease process,
New Ibra Hospital, with the support of the hospital
administration, the procurement of laparoscopic
instruments, and the arrival of an experienced
laparoscopic surgeon (Dr. Parwez), the laparoscopic
surgery service was initiated.

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 HISTORY

26-FEB-2014- 1ST LAPAROSCOPIC

APPENDECTOMY

19-OCT-2014- 1ST LAPAROSCOPIC

CHOLECYSTECTOMY

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 Since thenas of
30/07/2016
110 cases have been completed to
date

40 Laparoscopic appendectomies

70 Laparoscopic cholecystectomies

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 WHO WERE OUR
PATIENTS?

LAPAROSCOPIC LAPAROSCOPIC
APPENDECTOMY CHOLECYSTECTOMY
NUMBER 40 70
MALE (%) 10 (25%) 10 (14.3%)
FEMALE (%) 30 (75%) 60 (85.7%)
AGE
MEAN 24.4 + 5.7 40.0 + 9.3
RANGE 14-41 18-70

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 OUTCOMES ?
POST OPERATIVE COMPLICATION:

SURGICAL SITE INFECTION- 0%

POST-OPERATIVE BLEEDING- 0%
PORT-SITE HERNIA- 0%
RETAINED STONE- 1%
OTHERS- 0%

CONVERSION TO OPEN
APPENDECTOMY/CHOLECYSTECTOMY- 1%
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 RECOMMENDATION?

TO CONTINUE OFFERING HIGH

QUALITY LAPAROSCOPIC
SERVICES FOR PATIENTS IN
THE NORTH AL SHARQIYA
REGION

TO EXPAND THE LAPAROSCOPIC

SERVICE TO INCLUDE VENTRAL
HERNIA REPAIR. Page 7
 AREAS OF CONCERN?

TRAINING
PRESENT: DR. PARWEZ
IMPACT: LIMITATION OF
SERVICES
FUTURE: ALL MEMBERS OF
THE DEPARTMENT

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 AREAS OF CONCERN

TRAINING
SEND SPECIALIST SURGEONS
TO ROYAL HOSPITAL FOR
TRAINING
SECURE RECOGNITION FROM
ADMINISTRATION TO ALLOW
TRAINED SURGEONS TO
OPERATE
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 AREAS OF CONCERN

TRAINING
SECURE TRAINING MATERIALS
FOR CONTINUED SKILLS AND
KNOWLEDGE ENHANCEMENT

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 AREAS OF CONCERN

TRAINING

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 AREAS OF CONCERN

SERVICES
PRESENT: ONE LAP TOWER AND
ONE SET OF SURGICAL
INSTRUMENTS BEING SHARED
FUTURE: AT LEAST 2 LAP
TOWERS AND 3 SETS OF
SURGICAL INSTRUMENTS +
SPECIALIZED INSTRUMENTS
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 AREAS OF CONCERN

SERVICES
COORDINATE WITH
ADMINISTRATION REGARDING
THESE CONCERNS TO BE
ADDRESSED.

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Thank Page 14