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Spectrum of Congenital Anomalies among Surgical Patients at a Tertiary Care Centre over 4 Years
Arushi Agarwal1, K N Rattan1, Ankur Dhiman1
1Department of Pediatric Surgery, Pt. B.D. Sharma, PGIMS, Rohtak, Haryana, India.
Insights
Congenital anomalies are a significant cause of childhood death and disability. Neural tube defects were the most common, affecting 24.3% of pediatric surgery patients, followed by anorectal malformations and tracheoesophageal fistulas.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Public Health
Background:
- Congenital anomalies are a major global health concern, leading to childhood mortality, chronic illness, and disability.
- The prevalence and types of these malformations require ongoing epidemiological study.
Purpose of the Study:
- To determine the incidence of various congenital anomalies in pediatric surgery patients.
- To analyze the types and prevalence of congenital malformations over a four-year period.
Main Methods:
- Retrospective analysis of patient data.
- Inclusion of all patients admitted to the Department of Pediatric Surgery between 2011 and 2015.
- Categorization and quantification of different congenital anomalies.
Main Results:
- Neural tube defects were the most frequent anomaly (24.3%).
- Anorectal malformations (20.7%), tracheoesophageal fistulas (20%), and intestinal obstructions (14.84%) were also common.
- Males constituted the majority of affected patients (60.5%).
Conclusions:
- Congenital malformations represent a growing worldwide health challenge with long-term consequences.
- Early detection through regular antenatal visits and prenatal diagnosis is crucial for management and prevention.
- Effective interventions can mitigate the impact on individuals, families, and healthcare systems.
Abstract:
Introduction. Congenital anomalies are important causes of childhood death, chronic illness, and disability in many countries. Congenital malformations are rapidly emerging as one of the major worldwide problems. Aim. To study the percentage of various congenital anomalies among the patients admitted in Department of Pediatric Surgery at a tertiary care centre over a period of four years from 2011 to 2015 in our centre. Results. Neural tube defects were found to be the most common anomalies in 24.3% of the children admitted. Other common anomalies were anorectal malformation (20.7%), tracheoesophageal fistula (20%), and intestinal obstruction (14.84%). Majority (60.5%) of the patients were males. Conclusion. Congenital malformations are rapidly emerging as one of the major worldwide problems as they can result in long-term disability, which may have significant impacts on individuals, families, health-care systems, and societies. Regular antenatal visits and prenatal diagnosis are recommended for prevention, early intervention, and even planned termination, when needed.
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