A Retrospective 05 Years Analysis of Operated Surgical Patients in Bangladesh Level II Hospital, UNMIL

Abstract

Introduction:There is a paucity of published data on the type of surgical conditions that affect the UN personnel of different countries setup and the spectrum of surgical operations performed for these patients. Such information are necessary for assessing the impact of surgical conditions, both elective and emergency, on the health of UN peacekeepers from different races and nationalities and for setting priority to improve the surgical care. Objectives:To ascertain highest possible standard of surgical care to be ensured in an international arena for optimal outcome. Results: A total 83 major, 567 minor and 3924 dressings were done. The majority of operations were emergency cases of which 73.49% were of major and 78.30% were minor surgery. While 26.50% of major and 21.69% of minor surgery were elective cases. All were male patients in cases of major operations and 93.29% for minor cases as most of the peacekeepers were male personnel. The most frequent cases were acute appendicitis, inguinal hernia and polytrauma cases. Highest number of patients was 28 (33.73%) from 26-30 years age group. There were 3 minor postoperative complications with nil mortality rates. Conclusion:The surgical unit of a level-II hospital has to work in an adverse situation of a conflict area with various limitations. So it is very important to provide highest possible standard of surgical care to be ensured in terms of staff, equipments, logistic support and with a motivated surgical team in an international arena for optimal outcome. Key-Words:Bangladesh level II hospital, UNMIL, Emergency Surgery, Elective Surgery. IntroductionThe history of disease is at least as old as the history of mankind. In ancient Egypt, papyri have been found dealing with medicine, surgery, obstetrics and gynecology. The Edwin Smith papyrus written in about 1600 BC is one of the oldest and is of great interest to surgeons. The practice of surgery had evolved from the ancient primitive ways to recent advanced surgical procedure through all these long-time 1 .Surgery is at the end of the spectrum of the classic curative medical model and as such has not been routinely considered as part of the traditional public health mode l . However, no matter how successful prevention strategies are surgical condition will always