Experience of 247 patients undergoing surgical ligation of patent ductus arterioses at bolan medical college,sandeman teaching hospital quetta

Objective: to know the safety of surgical occlution of patent ductus arterioses and its complication when performed in a bolan medical college. subjects and method: this retrospective study was carried out in 247 patients of pda between april 1995 to september 2010 in the department of surgery,bolan medical college,quetta. all patient had investigation including colour doppler confirming the diagnosis of pda. any patient having severe pulmonary hypertension,cynosis or clubbing was not included in this study. all patients had one unit of blood crossed-matched. results: all patients were underwent surgery,the patients presented at the age range of three years to 35 years with average of 13 years,185 were females and 62 males,female to male ratio was 3:1. the patients presented with repeated chest infections,shortness of breath,palpitation,chest pain and asymptomatically,6 patients were associated with small vsd. size of ductus was large in 5 cases,moderate in 16 patients and in the rest of cases have small pda. all the cases survived with no mortality,complications included chest infection in 2 cases,hoarseness of voice in one case. no recurrence in four years follows up. blood transfusion was not required in any case. in all cases we put a chest tube,hospital stay was 2-9 days in range with average of 3 days,and operative ligation of pda is simple,effective and economical procedure. early detection by neonatal assessment and early operation should be done.