Objective: To evaluate management of surgical patients and their outcome in a general surgical unit of a tertiary care center in Lahore. Methodology: This is a retrospective descriptive study for the month of september 2018. Data was collected from all patients admitted in the surgical unit II at lahore general hospital, through out-patient clinics and emergency department. Detailed data regarding the patients was collected and analyzed using SPSS v20. Results: A total of 224 patients were admitted and out of them 144 (64%) were through emergency department, whereas 80 (36%) were from outpatient clinics. Male admissions were found to be (120)53.58% as compared to female patients (104) 46.42%. Among all admissions, laparoscopic choleystectomy 30 (13.39%) accounted for the highest number of procedures, followed by Appendicectomy 29 (12.94%) and inguinal mesh hernioplasty 23 (10.26%). Trauma cases constituted 28(12.4%) in all admissions. Conclusion: There is a dire need of local studies on the topic of Surgical Audit for proper evaluation of patient management and resources in tertiary care hospitals in our country.

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