pediatric surgery departement statistics alexandria egypt

Alexandria Pediatric Surgery Department

Close View For a Great Work

HAYSSAM RASHWANMOHAMED MORSI

The first pediatric surgery department in Egypt

The department is founded by: professor EL SAYED ELAKKARYThe department is the only pediatric surgery service in 4 governorates Alexandria , Kafr el sheikh, Beheira, Matrouh.

Carrying on emergency operations and admissions .. 24 hours 7 days

Receiving trainee from allover the world.

Human powerHead of departement : Prof Sameh Shehata

Professors:Prof Essam EL Sahwy

Prof Waheed Kandeel

Prof Abdallah Shaaker

Ali Sultan

Active Professors: Prof .Yasser Sad Eldin• Prof . Saber Waheeb

• Assist Professor:• Dr. Ahmed Khairy

Human powerLecturer:

Dr. Khaled AshourDr. Mohamed Abouheba

Ass.Lecturer: Dr. Gaber Mostafa

Dr. Baher Sobhy.Dr. Ahmed ELruby.Dr. Haithium Rashwan

Human powerResidents “in seniority”

Eslam Amer

Mustafa RashadAhmed shawky

Mohamed Mekaway

Mohamed abdelmalakEslam Sabry

Ahmed Eshiba

Mustafa Abdelatty

Micheal Nageh

Mohamed Mansy

Ahmed Moktar

El-Shatby Hospital-Pediatric SurgeryPediatric Surgery in El-Shatby Hospital has 4

floors:• Surgical Intensive Care Unit.• Operation theaters• Ward For age > 1 y.• Ward For age “1D - <1y.

With Total Number of Beds : 25 BedAnd Total Number of incubators: 15 incubator

El-Shatby Hospital of children ( SHC)Surgerical Intenstive Care Unit:10 incubators5 beds3 Ventilators

El-Shatby Hospital 3 Operation theatersComplete laparoscopic set

El-Shatby HospitalWard For age > 1 y.

10 beds

El-Shatby HospitalWard For age “1D - <1y.

10 Bed 5 incubators

•El-Shatby Hospital• View over last 8 months:• Total Number of cases over 8 month :

960

• Total Number of mortality cases /8 month : 68 (7.2%)

1 2 3 4 5 6 7 8115 112 132 133 141 102 126 99

1 2 3 4 5 6 7 8

9 (7.8%

)

5 (4.4%

)

15 (11.6

%)

6 (4.5%

)

13 (9.2%

)

5 (4.9%

)

8(6.4%

)

7(7%)

Patient according age

Jan Feb Mars April May June July Au-gust

Total 115 112 132 133 141 102 126 99

Pediatric 77 80 89 99 97 63 88 70

Neonate 38 32 43 34 44 39 38 29

10

30

50

70

90

110

130

150

Details of number of cases / each month1 2 3 4 5 6 7 8 Total

T.O.F 5 5 6 4 2 3 9 3 37

Anorectal anomalie

10 0 8 3 9 4 5 6 45

H.S.D 5 3 4 4 3 2 2 4 27

C.D.H 6 3 2 4 1 2 3 2 23

Atresia 4 2 2 2 2 5 3 2 22

Malrotation 2 1 1 2 3 1 2 5 17

Perforated Gut 1 3 2 0 1 2 1 2 12

Intussusception 18 17 28 24 26 30 43 27 213

I.H.P.S 8 11 8 18 5 7 4 6 67

Miscellaneous 56 67 71 72 89 46 54 42 497

T.O.FMonth Number of cases Mortality

Jan 5 1 (20%)

Feb 5 1 (20%)

Mars 6 5 (83%)

April 4 2 (50%)

May 2 1 (50%)

June 3 1 (33%)

July 9 3 (33%)

August 3 1 (33%)

37 15 (40%)

T.O.F

1 2 3 4 5 6 7 80

2

4

6

8

10

12

14

total number of casesmortality

Intussusception

Month Total H.R S.R Resection

Jan 18 14 (77%) 2 (11%) 2 (11%)

Feb 17 14 (82%) 2 (11%) 1 (5.8%)

Mars 28 21 (75%) 5 (17%) 4 (8%)

April 24 19 (79%) 3 (12.5%) 2 (8.5%)

May 26 18 (70%) 7 (26.5%) 1 (3.5%)

June 30 25 (83%) 3 (10%) 2 (7%)

July 43 29 (67%) 9 (20%) 5 (11.5%)

August 27 20 (74%) 6 (22%) 2 ( 7.5%)

213 160 (75%) 37 (17%) 19 (9%)

Intussusception Graph

H.R (160 case - 75%)

Simple Reduction (37 case -

17%)

Resection (19 cases -9%)

Laproscopic proceduresTotal Number of cases / 8m : 26 casesCase Total number

Imp. U.D.T 18

Cholecystectomy 2

Inguinal Hernia 2

Appendicitis 3

Hernia of Morgagni 1

Main Hospital –Pediatric SurgeryConsist of 2 wards: - Female ward: 24 Bed

- Male Ward: 20 Bed

Operation in El-Meri Focus on 2 group:- Adult Age.

- Elective Surgery in Pediatric Age > 6m.

Main HospitalView over last 8 months:

2 days For outpatient clinic: Saturday & Tuesday. 3 Days For Operation: Sunday, Monday & Wednesday.

Total Number of operated cases: 561 caseMean number of cases \ month : about 70 case\m

Main HospitalNumber of cases \ month

Jan Feb Mars April May June July August0

20

40

60

80

100

120

6578 81

56

103

45

78

55

Cases\m

Main HospitalMost Common operations in Main hospital

Jan Feb Mars

April

May June

July August

Hypospadias

10 8 11 9 19 8 14 11

C.I.H 19 25 23 17 26 12 18 13

Hydrocele 4 3 3 2 6 4 5 2

Palp. U.D.T

2 5 3 4 9 2 4 3

Adult Ing.Hernia

2 3 3 2 7 1 5 3

New Extensions:Burg ElArab Hospital.

Smoha Hospital.

Increased the total number of operation lists from 7 per week to 9 week starting from september 2012

Thanks