DOWITES’78 Operation theatre complex

WORKING TO SAVE HUMANITY

INTRODUCTION & PURPOSE

Working in a health care facility of a public sector hospital brings you closer to the real world of poverty and its reflection. Health care is a fundamental right of every Pakistani. However, due to lack of finances, corruption and lack of will on part of providers it remains a grossly neglected aspect of the society. We as Dow Graduates have taken upon ourselves to “make a difference”. The batch of 78 called Dowites78 had set out to construct and operate a complete State-of-the-Art Operation Theatre Complex project at a cost of more than Rs.220 million approx.The government in the spirit of private public partnership has supported all such projects and even after completion permits each batch a role in the management of its project.

We are a non-profit organization established by 1978 graduates of the Dow Medical College providing free surgeries to people in Karachi. We do it without compromising our patient's dignity.

Never doubt!That a small group of thoughtful, committed citizens can change the

world, Indeed it is the only thing that ever has !!

MISSION

OBJECTIVESTo promote and extend the operation theatre complex by

improving the existing facilities.To modernize and up-grade the surgical methods and facilities

in line- with international standards and designs for general welfare and benefits of public at large.

To coordinate, cooperate and collaborate with any other organization and person for promotion and fulfillment of the objects of the society.

The Dowites78 Operation Theatre Complex, spread over a constructed area of 56,150 sft. It consists of 14 Operation Theatres (OTs). Each OT is attached with an anesthesia induction room, scrub area, exit area and a store. Floor and 4 ft. of walls are paved with good quality ceramic tiles, with particular emphasis on sealing all crevices in between. This is to ensure that infected material is not trapped and disinfecting process is efficient and effective.Distribution of OTs:

7 General Surgery ,2 ENT , 3 Eye, 2 Specialties. Equipment:

All fourteen OTs have been equipped with anesthesia machine, operating lights, operating tables, NIBP monitors, surgical diathermy and all relevant surgical instruments. Oxygen, nitrous oxide, positive pressure air and suction systems are centralized.

HIGHLIGHTS

DIAGNOSTICS UNITSGI Unit (Gastroenterology):

DOTS has a state-of-the-art GI unit where Endoscopy, Colonoscopy and ERCP (Endoscopic Retrograde Cholangiopancreatography) diagnostic procedures are performed. GI Unit conduct 20 to 30 cases every day. These diagnostic procedures are performed by Senior Gastroenterologist. Extensive trainings to GI centre staff and doctors are provided periodically.

EYE:DOTS EYE Diagnostic Unit has a facility of ERG (Electroretinography), OTC (Optical Coherence Tomography), FFA (Fundus Fluorescein Angiography). The unit conduct 15 to 20 cases daily. All diagnostic procedures are conducted by trained technicians and doctors.

HVAC : The Heat Ventilation & Air Condition (HVAC) system units with antibacterial filters and five air changes per hour, are in line with international standards.

Recovery : The recovery area, ideally located between the two wings of theatres, has a capacity to manage twenty one post operative patients at a time.

CSSD: A well-set Central Store and Central Sterilization and Supply Department (CSSD) is mandatory for an effective infection control in surgical patients. The CSSD is equipped with state-of-the-art sterilizers with water softening plant and steam generator. The department is manned by qualified and trained staff to ensure smooth functioning of this most important allied facilities and delivery services.

DEPARTMENTS

Security and Monitoring Department:OT Complex is covered by thirty one CCTV cameras. The vigilant

management of the OT Complex will keep an eye on every nook and corner of the facility.

ROBOTIC LABRobotic surgery, or robot-assisted surgery, allows doctors to

perform many types of complex procedures with more precision, flexibility and control than is possible with

conventional techniques. The surgery is usually associated with minimally invasive surgery — procedures performed through

tiny incisions. The surgeon sits at a computer station and directs the movements of a robot. Small surgical tools are attached to

the robot's arms.DOTS OT Complex has a state of the art Robotic Lab where

these surgeries are performed under the supervision of trained surgeons and paramedical staff.

TEACHING & TRAINING FACILITIESRegular updating of knowledge is an important aspect in the present era0

of rapid advancements. We must keep ourselves in the main the stream if we want to survive professionally.

All operating rooms have an arrangement to record the surgical procedure and simultaneously to display it in the auditorium of the complex. This facility is utilized for teaching and training of medical students, postgraduates and paramedics. Surgical video conferences are arranged regularly in collaboration with surgical associations. Continuous training and building skills of paramedics working in OTs, has also been arranged.

FUTURE PERSPECTIVESOur vision is to connect OT Complex with the rest of the medical world using high speed fiber optics or even with

wireless connectivity via satellite. Time and distance should not be constraints in acquiring knowledge for those working in

the OT Complex. Telemedicine, with clinician sitting miles away from the patient can see the patient and guide further management. Today's vision is tomorrow's reality. We have

setup an ideal platform for much future advancement. It is for the new generation to take over and go ahead or let it drain.