Muhammad Imran Azeem, Muzammil Hussain, Jodat Saleem, Kashif Mumtaz.
Reasons For Cancellation Of Operation In A 235 Bedded Public Sector Hospital Dedicated For Gynaecology And Obstetrics In Lahore.
Esculapio J Services Inst Med Sci Jan ;12(4):179-82.

Objective: To evaluate the reasons for cancellation of elective surgical operation of the patients who presents for pre-Anaesthesia evaluation one day before surgery or on the day of surgery in a 235 bedded public sector hospital in Lahore. Methods: The medical records of all the patients, from 1st June 2014 to 30th May 2015, who had their operations cancelled one day before surgery or on the day of surgery in all gynaecology and obstetrics units of the hospital, were audited prospectively. The number of operation cancelled and reasons for cancellation were documented in detail. Results: 2160 patients were scheduled for elective surgical procedures during the study period of one year; 204 (9.4 %) of these were cancelled one day before surgery during pre-Anaesthesia fitness or on the day of surgery. The most common cause of cancellation was inadequate patient preparation. 59 (28.92%) patients were cancelled as they were not adequately prepared for surgery as per anesthetist advice (incomplete NPO, Investigations or referrals required). The second most common cause of cancellation was the un optimized medical status of the patients53 (25.98%). 36(17.65%) cancellations were because of equipment failure/Electricity shutdown; 17 (8.33%) cancellations due to lack of operation theater time; 16 (7.85%) were cancelled due to patient's refusal/patient left against medical advice; 12 (5.88%) were cancelled by the surgeon due to a change in the surgical plan and 11 (5.39%)patients were cancelled due to non-availability of surgeon. Conclusions: Most causes of cancellations of operations are preventable.

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