Doing Pre-operative Investigations in Emergency Department; a Clinical Audit.

Introduction: Pre-operative investigations for emergency surgical patients differ between centers. Following established guidelines can reduce unnecessary investigation, cost of treatment and hospital stay. The present audit was carried out to evaluate the condition of doing pre-operative investigations for three common surgical emergencies compared to National Institute for Health and Care Excellence (NICE) guidelines and local criteria.

Scar Pain, Cosmesis and Patient Satisfaction in Laparoscopic and Open Cholecystectomy.

Objective: To compare patient-satisfaction, scar-pain and cosmesis between laparoscopic and open-cholecystectomy.

Study Design: Cross-sectional survey.

Place And Duration Of Study: Khyber Teaching Hospital, Peshawar, from August 2012 to May 2014.

Effectiveness of simple control measures on methicillin-resistant Staphylococcus aureus infection status and characteristics with susceptibility patterns in a teaching hospital in Peshawar.

Objective: To determine the effectiveness of simple control measures on the infection status and characteristics of methicillin-resistant Staphylococcus aureus including susceptibility patterns among health professionals and patients in a teaching hospital.

Methods: The cross-sectional study was conducted from September 2013 to January 2014, and comprised samples collected from healthcare personnel and patients in the various units of Khyber Teaching Hospital, Peshawar. The specimens were collected before and one month after the implementation of simple control measures for outbreak prevention of methicillin-resistant Staphylococcus aureus.

Evaluation of postoperative antibiotics after non-perforated appendectomy.

Objective: To evaluate the role of postoperative antibiotics in reducing surgical site infections after appendectomy for non-perforated appendicitis.

Methods: The randomised controlled trial was conducted at Khyber Teaching Hospital, Peshawar, Pakistan, from November 11, 2012, to May 30, 2014, and comprised patients of emergency appendectomy for non-perforated appendicitis who were divided into groups A and B. Group A received a single dose of cefuroxime sodium and metronidazole half-an-hour before induction, while Group B received one more dose of the same antibiotics postoperatively.

Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies.

Background: Negative appendectomies result in unnecessary admissions, health care burden, and cost. This study was conducted to assess total leukocyte and neutrophil counts as preventive tools in reducing negative appendectomies.

Methods: Data of admitted patients who underwent appendectomies was analyzed.

Receiver operator characteristic curve analysis of the Lintula score for reduction of negative appendectomies in adults.

Objective: To evaluate the Lintula score in reducing negative appendectomies in the adult population.

Study Design: Descriptive analytical study.

Place And Duration Of Study: Surgical Department, Khyber Teaching Hospital, Peshawar, Pakistan, from August 2012 to April 2014.