A Service Hospital? Advanced End Surgery Hospital? : One Month Temporary Assignment Experience.

Authors : Vahit GUL, Sabahattin DESTEK, Şahin KAYMAK

Pages : 183-190

Doi:10.31832/smj.692564

View : 13 | Download : 7

Publication Date : 2020-06-15

Article Type : Research Paper

Abstract :A Abstract Objective: As a general surgeon who was assigned for a temporary period of time, we aimed to carry out the scientific analysis of the patients who were admitted and underwent surgery and received medical observation service during our one-month temporary service in the General Surgery Clinic of Hakkari  State Hospital. Materials and methods: General surgery admissions evaluated by the emergency department and general surgery clinic in Hakkari  State Hospital between 31 December 2017 - 31 January 2018 were retrospectively evaluated. Results:  Of the 521 patients  admitted to the general surgery outpatient clinic directly as an outpatient or through the consultation request by the emergency department, 63.15% were the patients requiring emergency surgery and  44.73% were diagnosed with surgical acute abdomen. Two patients insert ignore into journalissuearticles values(5.26%); with an indication for surgery did not accept surgical treatment. On a patient presented with firearm injury, damage control surgery was performed for liver and colon injury. One patient who had intra-vehicle traffic accident was monitored in our hospital until transferred to an advanced center for observation and medical treatment due to grade I hepatic injury. Conclusion: We are of the opinion that the presented data analysis of the simultaneous provision of surgical services to both catastrophic firearm injury cases and elective - emergency surgery cases for citizens during this mission, which involved the organization of advanced end surgical hospital, as well as the hospital providing healthcare services, will be a sample pilot study and will shed light in terms of the problems that inexperienced personnel to be assigned for such a mission may face with before the assignment and in terms of the case profile and being prepared for these.
Keywords : gezici cerrahi, hastane cerrahi bölümü, kırsal hastaneler