Prof. Muhammad Arshad Cheema MBBS, MCPS, FRCS Chairman Department of Surgery & Director Research

Brief History & Introduction

North Surgical Unit (Surgical Unit-I) is the oldest unit of Department of Surgery. The Department has a high dependency area for acute post operative care equipped with monitoring support facilities. It has 68 beds capacity.  The department has developed air conditioned burn units in both male and female wards. This department has a class room and library well equipped with latest books and medical journal providing the study facilities for under and postgraduate trainees. There is a Computer Lab in the library of Male Ward where internet facilities are available round the clock.

Group Photo of North Surgical Ward

Postgraduate Programmes

1. FCPS - II
2. MS Surgery

Undergraduate Programmes

1. MBBS
   
2. BDS
   
3. Physiotherapy
   
4. Nursing

List of Postgraduate Trainees

Trainees who have passed FCPS – II in 2009

1. Dr. Maria Mahmood

2. Dr. Bilal Ahmad Qureshi

3. Dr. Nasir Mahmood

4. Dr. Farhat Abbas

5. Dr. Sajid Hussain

Research Center

Being Director Research KEMU, Prof. Muhammad Arshad Cheema has established the Research Center of KEMU to:

1. Coordinate the ongoing research projects

2. Facilitate formulation of future research projects, and help secure funding

3. Help the researchers in preparing their manuscripts for publication.

4. To help the researchers to attend national and international meetings to present their research work and funding their traveling and accommodation arrangements.

We have compiled a book on the research published in national and international journals during the last 5 years by faculty members as well as currently on going research projects.

We have arranged a one day workshop on Medical Research and Good Clinical Practice on Saturday, March 8, 2008 in the Auditorium of King Edward Medical University.

Trauma Courses:

It is a well known fact that Accidents and Violence are the number 1 cause of death in people under age 45 in this country like rest of the world. Many of these deaths are preventable if adequate treatment is provided in a timely fashion during the first hour after injury. In order to provide awareness of this situation the Department of Surgery has arranged 20 Trauma Courses until October 2009. We have trained more than 1000 surgeons throughout the country so far.

This Course focuses on the first hour after injury which is termed as “the golden hour”. This golden hour provides the golden opportunity to save the life and the life long disability. The best way to strengthen the emergency services in the country is for department of health to regularly arrange such trauma courses for doctors manning the emergency department. Development of well trained human resource is as important as construction of “brick & mortar trauma centers”.

Other Activites:

• Arranged Awareness Walk on “World No Smoking Day” on 31st May 2009.

• Cancer Prevention Seminar.

• International Surgical Conference on November 14-16, 2008 in association with Society of Surgeons of Pakistan.

• Conducted a workshop on Medical Education – Problem Based Learning

• 1st National Cancer Surgery Conference on April 11, 2009 in association with Society of Surgeons of Pakistan.

• Surgical Skills at College of Physicians & Surgeons Pakistan, Lahore

• Contribution to the BLS Workshop organized by the Department of Medical Education, KEMU.

Services

• We have update library in the unit containing latest available journals.

• We have computerized the record of each and every patient.

• We have built air-conditioned burn units in both male and female wards.

• Our unit provided voluntary participation in the relief work of earthquake stricken disaster areas of northern Pakistan.

• Our unit has trained consultants in laparoscopy, vascular and other surgical procedures who are performing State of the Art Surgery and training their innumerable juniors.

Research Projects

• Duplex VS Arteriography in evaluation of Lower Limb Ischemia.

• Breast Conservation Therapy VS MRM and Recurrence.

• BCT without Axillary Clearance in Small Breast Tumors.

• Effect of GTN Cream on post operative pain and healing after open Haemorrhoidectomy

• Enteral Nutrition in acute Pancreatitis

• Division of IlioInguinal nerve in herniorrhaphy and its effects on post op pain and paraesthesia

• Selection of suture material in gut anastomosis

• Complications after liver repair in Blunt vs penetrating liver trauma

• Comparison of high vs low pressure axillary suction drain after MRM

• Conservative vs Surgical management of Liver Trauma

• Incidental Parathyroidectomy in Thyroid Resection/ Post Thyroidectomy Hypocalcaemia

• Thyroglobulin Levels and reliability in Thyroid Neoplasm

• Subcuticular vs interrupted skin closure in appendicitis

• Role of FNAC in evaluation of Thyroid disease

• Evidence of H-Pylori in patients with Duodenal Ulcer Perforation

• Comparative study of primary repair vs colostomy in colonic injuries.

• Comparative study of colostomy reversal with or without mechanical bowel preparation.

• Outcome of the limberg flap in pilonidal sinus

• Soft tissue reconstruction in general surgical ward

• Outcome of the stapled haemorrhoidectomy in 3rd and 4th degree haemorrhoids.

• Comparative study of skin incision using cutting diathermy vs scalpel

• Types of iatrogenic CBD injuries and associated risk factors

• Diagnostic accuracy of FAST in blunt trauma abdomen.

• Kugal’s hernia repair.

Publications

1. Role of Splenectomy in Medical Disorders. Pakistan Journal of Medical & Health Sciences Vol. 3, Issue 1, Jan – Mar 2009

2. Cervical Rib and Complications of Thoracic Outlet Syndrome. Pakistan Journal of Medical & Health Sciences Vol. 3, Issue 1, Jan – Mar 2009

3. Laparoscopic Cholecystectomy in Acute Cholecystitis Journal of Fatima Jinnah Medical College. Vol. 3, Issue 1, Jan – Mar 2009

4. Colorectal Carcinoma - experience at Mayo Hospital, Lahore Journal of Fatima Jinnah Medical College. Vol. 3, Issue 2, Apr- Jun 2009

5. Complications of Laparoscopic Cholecystectomy: an experience at Mayo Hospital, Lahore. Journal of Fatima Jinnah Medical College. Vol. 3, Issue 2, Apr- Jun 2009

6. What is Ailing the Medical Education in our Country? Editorial Pakistan Journal of Medical & Health Sciences Vol. 3, Issue 3, Jul – Sep 2009

7. Outcome of Stapled Haemorrhoidectomy in 3rd and 4th Degree Haemorrhoids. Pakistan Journal of Medical & Health Sciences Vol. 3, Issue 3, Jul – Sep 2009.

8. Second Degree Haemorrhoids – Outcome of Rubber Band Ligation. Pakistan Journal of Medical & Health Sciences Vol. 3, Issue 3, Jul – Sep 2009.

9. Outcome of Complete Rectal Prolapse. Pakistan Journal of Medical & Health Sciences Vol. 3, Issue 3, Jul – Sep 2009.

10. Comparison of Glyceryl Trinitrate 0.2% and Lateral Anal Sphincterotomy in Cases of Anal Fissure. Pakistan Journal of Medical & Health Sciences Vol. 3, Issue 3, Jul – Sep 2009.

11. Role of appendectomy in repair of ventral hernia”. Annals of King Edward Medical College, Vol. 10, No.3, Jul-Sep 2004.

12. “Surgical aspects of abdominal tuberculosis”. Annals of King Edward Medical College, Vol. 10, No.3, Jul-Sep 2004.

13. “Management outcome of duodenal trauma”. Annals of King Edward Medical College, Vol. 10, No.3, Jul-Sep 2004.

14. Complications of Uterine instrumentation. A preventable misery on rise. Annals of King Edward Medical College, Vol 10 No, 4 Oct-Dec. 2004.

15. Management outcome of Duodenal Trauma. Annals of King Edward Medical College, Vol 10 No, 3 July-Sept. 2004.

16. Surgical aspects of Abdominal Tuberculosis. Annals of King Edward Medical College, Vol 10 No, 3 July-Sept. 2004.

17. Management of Acute pancreatitis: An Experience at Mayo Hospital, Lahore. Annals of King Edward Medical College, Vol 10 No, 2 Apr- Jun 2004.

18. Amputation Failure. Experience at Mayo Hospital. Annals of King Edward Medical College, Vol 10 No, 1 Jan-Mar 2004.

19. Early Pre- operative preparation of toxic Goitres. Annals of King Edward Medical College, Vol 9 No, 2 Apr- Jun 2003.

20. Carcinoma Breast: A dilemma for our Society. Annals of King Edward Medical College, Vol 9 No, 2 Apr- Jun 2003.

21. Open Versus closed Haemorrhoidectomy. Annals of King Edward Medical College, Vol 9 No, 1 Jan- Mar 2003.

22. Management of Strangulated Abdominal Hernia. Annals of King Edward Medical College, Vol 9 No, 1Jan- Mar 2003.

23. Pilonidal Sinus over Sternum. Annals of King Edward Medical College, Vol 8 No, 3 Jul-Sep 2002.

24. Treatment options for pancreatic tumours. Annals of King Edward Medical College, Vol 8 No, 2 Apr- Jun 2002.

25. Mode of presentation of malignant neoplasm of the stomach. Annals of King Edward Medical College, Vol 8 No, 2 Apr- Jun 2002.

26. Changing scenario in Hepatic trauma. The Pakistan Journal of Surgery, Vol. 18, No. 1, Jan Jun 2002.

27. “Psoas Abscess (Presentation; Assessment and Management)” published in Annals King Edward Med Coll Jan-Mar 2002

28. “Frequency and Causes of Sudden Death in Surgical Practice” published in Annals King Edward Med Coll Apr-Jun 2002

29. “Mode of Presentation of Malignant Neoplasms of the Stomach” published in Annals King Edward Med Coll Apr-Jun 2002

30. “Role of Pyloric Exclusion in Duodenal Trauma – Historical Perspective” published in Annals King Edward Med Coll Oct-Dec 2003

31. “Early Preoperative Preparation of Toxic Goitres” published in Annals King Edward Med Coll Apr-Jun 2003.

32. How Necessary is the Use of Synthetic Mesh repair in Ventral Abdominal Hernia” published in Annals King Edward Med Coll Apr-Jun 2003.

33. “Management of Strangulated Abdominal Hernia” published in Annals King Edward Med Coll Jan-Mar 2003.

34. “Open versus closed Haemorrhoidectomy – an experience at Mayo Hospital, Lahore” published in Annals King Edward Med Coll Jan-Mar 2003.

35. “Abdominal wound closure – a prospective randomized trial of polypropylene and polydioxanone” Emirates Medical Journal 2003; 21(1): 45-48.

36. “Complications of Uterine Instrumentation A Preventable Misery on Rise” published in Annals King Edward Med Coll Oct-Dec 2004.

37. “An Effective Technique of Mass closure in Midline Abdominal Incision” published in Annals King Edward Med Coll Apr-Jun 2005.

38. “Lung Sparing Damage Control Surgery for Major Thoracic Trauma – A 5-year experience” European Journal of Trauma 2006; 32:85-9.