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Routine Pediatric Surgical Emergencies: Incidence, Morbidity, and Mortality During the 1st 8000 Days of Life-A

Alizeh Abbas1, Ruth Laverde2, Ava Yap3

  • 1Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

World Journal of Surgery
|June 21, 2023
PubMed

Insights

Pediatric surgical emergencies are common in low- and middle-income countries (LMICs), with conditions like appendicitis and hernias causing significant morbidity. Timely surgical care in LMICs can prevent complications and reduce healthcare costs.

Area of Science:

  • Pediatric Surgery
  • Global Health
  • Public Health

Background:

  • Potentially treatable surgical conditions affect a large proportion of children in low- and middle-income countries (LMICs).
  • An estimated 85% of children in LMICs will experience a surgical condition before age 15.
  • This review focuses on common pediatric surgical emergencies in LMICs and their impact on health outcomes.

Approach:

  • A narrative review was conducted to examine the epidemiology, treatment, and outcomes of pediatric surgical emergencies in LMICs.
  • Data on pediatric surgical emergency care in LMICs were aggregated.
  • The review assessed conditions presenting within the first 8000 days of life.

Key Points:

  • Common pediatric surgical emergencies in LMICs include acute appendicitis, ileal perforation, intussusception, hernias, and musculoskeletal infections.
  • These conditions are often "neglected" and disproportionately affect children in LMICs due to delayed care.
  • Pediatric surgical emergencies strain already limited healthcare resources in LMICs.

Conclusions:

  • Delayed access to care and resource limitations in LMICs contribute to severe presentations of pediatric surgical disease.
  • Timely surgical intervention can prevent long-term impairments in children.
  • Accessible pediatric surgery can enhance public health interventions and decrease overall healthcare expenditures.
Abstract

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