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.

Background: Abdominal trauma can be mysterious to some practitioners. If patients are evaluated for being stable or unstable, then abdominal trauma can be easily managed. Using a combination of physical examination, eFAST Scan, DPL and CT scans, patients can be quickly and efficiently evaluated. Objectives: To determine the positive predictive value (PPV) of computed tomography and diagnostic peritoneal lavage for diagnosis of solid organ damage in patients with blunt abdominal trauma (BAT) taking surgical findings as gold standard. Study Design: Cross sectional study. Setting: Department of Surgery at Lahore General Hospital, Lahore. Period: Six months i.e. from 21.5.2016 to 20.11.2016. Materials and Methods: Data Collection: CT scan was performed with oral and intravenous contrast. DPL was done with sample assessment. Only those cases were included with positive findings in CT Scan or DPL. These patients underwent laparotomy under general anesthesia by a one standard surgical team. Results of surgical findings were compared between groups with CT scan and DPL. All the information was collected on predesigned proforma. Results: The mean age of the patients was 44.48±14.83 years. There were 66 (55%) males and 54 (45%) females in our study. In this study PPV for CT-scan group was 90.1% while PPV for group with DPL was 51.3%. Conclusion: PPV for CT Scan group was higher than that of DPL group for diagnosing solid organ damage in patients with BAT. Hence, evidence shows that CT Scan should be used as an initial investigation of choice in haemo-dynamically stable patients with BAT.