1. WORKING TO SAVE HUMANITY

2. INTRODUCTION &
PURPOSE
Working in a health care facility of a public sector hospital brings you closer to
the real world of poverty and its reflection. Health care is a fundamental right of
every Pakistani. However, due to lack of finances, corruption and lack of will on
part of providers it remains a grossly neglected aspect of the society. We as Dow
Graduates have taken upon ourselves to “make a difference”. The batch of 78
called Dowites78 had set out to construct and operate a complete State-of-the-
Art Operation Theatre Complex project at a cost of more than Rs.220 million
approx.The government in the spirit of private public partnership has supported
all such projects and even after completion permits each batch a role in the
management of its project.

4. We are a non-profit organization established by 1978 graduates of the
Dow Medical College providing free surgeries to people in Karachi. We do
it without compromising our patient's dignity.
Never doubt!
That a small group of thoughtful, committed
citizens can change the world, Indeed it is
the only thing that ever has !!
MISSION

5. OBJECTIVES
 To promote and extend the operation theatre complex by
improving the existing facilities.
 To modernize and up-grade the surgical methods and facilities in
line- with international standards and designs for general
welfare and benefits of public at large.
 To coordinate, cooperate and collaborate with any other
organization and person for promotion and fulfillment of the
objects of the society.

7. The Dowites78 Operation Theatre Complex, spread over a constructed area of
56,150 sft. It consists of 14 Operation Theatres (OTs). Each OT is attached
with an anesthesia induction room, scrub area, exit area and a store. Floor and
4 ft. of walls are paved with good quality ceramic tiles, with particular
emphasis on sealing all crevices in between. This is to ensure that infected
material is not trapped and disinfecting process is efficient and effective.
Distributionof OTs:
7 General Surgery ,2 ENT , 3 Eye, 2 Specialties.
Equipment:
All fourteen OTs have been equipped with anesthesia machine, operating
lights, operating tables, NIBP monitors, surgical diathermy and all relevant
surgical instruments. Oxygen, nitrous oxide, positive pressure air and suction
systems are centralized.
HIGHLIGHTS

9. DIAGNOSTICS UNITS
 GI Unit (Gastroenterology):
DOTS has a state-of-the-art GI unit where Endoscopy,
Colonoscopy and ERCP (Endoscopic Retrograde
Cholangiopancreatography) diagnostic procedures are
performed. GI Unit conduct 20 to 30 cases every day. These
diagnostic procedures are performed by Senior
Gastroenterologist. Extensive trainings to GI centre staff and
doctors are provided periodically.
 EYE:
DOTS EYE Diagnostic Unit has a facility of ERG
(Electroretinography), OTC (Optical Coherence
Tomography), FFA (Fundus Fluorescein Angiography). The
unit conduct 15 to 20 cases daily. All diagnostic procedures
are conducted by trained technicians and doctors.

11. HVAC : The Heat Ventilation & Air Condition (HVAC) system units with
antibacterial filters and five air changes per hour, are in line with international
standards.
Recovery : The recovery area, ideally located between the two wings of theatres, has
a capacity to manage twenty one post operative patients at a time.
CSSD: A well-set Central Store and Central Sterilization and Supply Department
(CSSD) is mandatory for an effective infection control in surgical patients. The
CSSD is equipped with state-of-the-art sterilizers with water softening plant and
steam generator. The department is manned by qualified and trained staff to ensure
smooth functioning of this most important allied facilities and delivery services.
DEPARTMENTS
Security and Monitoring Department:
OT Complex is covered by thirty one CCTV cameras. The vigilant management
of the OT Complex will keep an eye on every nook and corner of the facility.

13. ROBOTIC LAB
Robotic surgery, or robot-assisted surgery, allows doctors to
perform many types of complex procedures with more
precision, flexibility and control than is possible with
conventional techniques. The surgery is usually associated
with minimally invasive surgery — procedures performed
through tiny incisions. The surgeon sits at a computer
station and directs the movements of a robot. Small surgical
tools are attached to the robot's arms.
DOTS OT Complex has a state of the art Robotic Lab where
these surgeries are performed under the supervision of
trained surgeons and paramedical staff.

15. TEACHING & TRAINING FACILITIES
 Regular updating of knowledge is an important aspect in the present era0 of
rapid advancements. We must keep ourselves in the main the stream if we
want to survive professionally.
 All operating rooms have an arrangement to record the surgical procedure
and simultaneously to display it in the auditorium of the complex. This
facility is utilized for teaching and training of medical students,
postgraduates and paramedics. Surgical video conferences are arranged
regularly in collaboration with surgical associations. Continuous training
and building skills of paramedics working in OTs, has also been arranged.

18. Our vision is to connect OT Complex with the rest of the
medical world using high speed fiber optics or even with
wireless connectivity via satellite. Time and distance should not
be constraints in acquiring knowledge for those working in the
OT Complex. Telemedicine, with clinician sitting miles away
from the patient can see the patient and guide further
management. Today's vision is tomorrow's reality. We have
setup an ideal platform for much future advancement. It is for
the new generation to take over and go ahead or let it drain.