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.

Related Concept Videos

Tertiary Healthcare System01:21

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.3K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
6.1K
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
708
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
554