Morbidity & Mortality (July, 2019)

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PAEDIATRIC SURGICAL UNIT

MORBIDITY & MORTALITY


JULY, 2019
PSU 1
 Number of OPD patients = 582 Pts
 OPD New cases = 212
 Follow-up cases = 370
 Number of Admission =159
PSU 2
 Number of OPD patients =348
 OPD New cases = 40
 Follow-up cases = 308
 Number of Admission =186
MORBIDITY
 HDS –30 cases
 Imperforate anus (ARM) - 29
 Gastroschisis – 4
 Omphalocele - 3
 Burn / Scald – 10
 Abscess – 23
 Intesinal perforation-1
 Intestinal atresia -8
 PUV-3
 Acute appendicitis/ mass – 8
 Intussusception –10
 Intestinal obstruction –2
 Empyema thoracis - 3
 Biliary atresia –3
 Choledochal cyst- 7
 Haemangioma – 13
 Hypospadias-3
 Meningocele-5
 PUJO- 3
 Patent VID-1
 F/B aspiration & ingestion – 5
 OA – 4
 Others-120
MORTALITY PSU1

 Gastroschisis -2
 Imperforate anus e Down$ e septicaemia-1
 Congenital diaphragmatic hernia -1

Mortality = 1.2 % of Total admission


MORTALITY PSU 2

 Bilateral cystic hygroma – 2


 septicaemia e imperforate anus e T-colostomy – 1
 cystic biliarty atresia e COL -1
 Cardiopulmonary arrest d/t foreign body (peanut)
aspiration -1
 Mortality= 2.7 % of total admission
EXPIRED CASE FROM PSU 1
(1) B’ Wai Wai Oo, 3/365yr, F,
DOA. 21.7.19
COD : Septicaemia e Gastroschisis
Opt : Staged Reduction e silo-bag done at 21.7.19

Pt’s expired at 23.7.19


 (2)B’Thin Ei New, 3/365, F
 DOA-21.7.19
 Dx- Septicaemia e Gastroschisis
 Opt: Primary complete reduction done at 21.7.19
 Pt’s expired at 23.7.19
 (3) B’Khin Mar Yee, 7/365yr, M
 DOA- 28.7.19
 COD-Imperforate anus e Down $ e septicaemia
 T-colostomy done at -28.7.19
 Pt expired at 30.7.19
 (4) B’Sandar Aye , 12/365, M
 COD – Congenital diaphragmatic hernia e
septicaemia
 Opt- Laparotomy and repair done at 26.6.19
 Pt’s expired at 3:30 am / 8.7.19
S/L CASE FROM PSU 1
 ( 1 ) B’Yadanar Htun, 37/365, F
DOA- 2.7.19
COD- Duodenal atresia e malrotation
Operation – Lap +Duodeno-colic anastomosis at
3.7.19
Pt’s signed & left at 10Am /29.7.19
EXPIRED CASE FROM PSU 2
 (1) Poe Ei Khaing, F, 1 6/12yr
 DOA- 7.7.19
 Dx. Cardiopulmonary arrest d/t Foreign body
aspiration (Peanut)
 Tracheostomy was done at 11pm ,7.7.19
 Pt expired at 12am, 8.7.19
 ( 2 )Ei Sandar Lin, 6/12yr, F
 DOA-12.6.19
 COD-Cystic Biliary atresia e COL e septicaemia
 Opt : KASAI done at 26.6.19
 Pt expired at 8.7.19
 (3) B’Khin Mar Lwin , 36/365yr , M
 DOA- 15.6.19
 COD- Bilateral cystic hygroma with aspiration
pneumonia
 Bleomycin injections were done at 16.6.19 and
9.7.19
 Pt expired at 21.7.19
 (4) B’ Yin Mar Khaing, 4/365yr, F
 COD : Bilateral cystic hygroma
 DOA – 23.7.19
 Bedside aspiration was done at 25.7.19
 Pt’s expired at 27.7.19
 (5) B’Yin Yin Aye, 3/365yr , M
 DOA – 27.7.19
 COD –Imperforate anus e septicaemia
 Operation – T-colostomy at 27.7.19
 Pt’s expired at 30.7.19
S/L CASES FROM PSU 2
 (1)B’Cho Thae , 1 /12 yr , M
 DOA- 16.6.19
 COD-Hepatitis e perimembraneous VSD

 S/L at 2.7.19
 (2) Phone Khant Mg Mg, 1 5/12yr , M
 DOA-23.6.19
 COD_ Septicaemia e HDS ( Long segment) e
ileostomy e enterocolitis
 (3) B’ Than Than Aye ,4/365, F. RN- 3697
 DOA- 11.3.19
 COD- Septicaemic shock e Opt duodenal atresia
e ARI e Down$

 S/L at 13.3.19
 (4) Shwe Poe Aein ,9mth , F , RN- 1907
 DoA- 6.2.19
 COD- Pneumatocele (Bilateral) e respiratory
distress e severe pneumonia
 S/L at 16.3.19
 (5) B’Nwet Yin Win, 8/365, 1kg, M
 COD . Perterm extremely LBW e gastric
perforation
 Opt; Lap + Repair of perforation +PT drain at
24.7.19
 Pt’s Singed and left at 5:30am / 26.7.19
THANK YOU

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