PREVALENCE AND SURGICAL MANAGEMENT OF CONGENITAL ANOMALIES IN PAEDIATRIC PATIENTS IN A LOW-RESOURCE SETTING
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Keywords
Congenital anomalies, paediatric surgery, prevalence, outcomes, resource-limited settings
Abstract
Background: Congenital anomalies remain a significant public health challenge in paediatrics and developing countries.
Objective: This study was aimed to determine the frequency and distribution of congenital anomalies, their surgical intervention, and the results of children.
Methods: This was a cross-sectional descriptive study which was conducted for about 3 months from Aug, 2011 to Oct, 2011 in the Department of Paediatric Surgery, Khalifa Gulnawaz Teaching Hospital, Bannu Medical College, Bannu, Pakistan in which data was collected from 155 paediatric patients with congenital anomalies over three months. The data was analysed statistically to determine the relationship between the variables.
Results: The majority were infants that were 38.7%, and neonates that were 32.3%. The most common type of congenital anomalies was gastrointestinal, 25.8 per cent, while the second most common was craniofacial, 19.4 per cent. Elective surgeries were 71.0% of all surgeries it had performed, with a high success rate of 90.3%. The common postoperative complications that were reported were infections (12.9 per cent) and wound dehiscence (6.5 percent). However, 35.5% of the patients did not seek follow-up care as required to support long-term management.
Conclusion: This research highlights the importance of diagnostic tests, management during surgery, and treatment and follow-up systems in low-income environments for paediatric patients with congenital anomalies.
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Muhammad Jehangir Khan
Associate Professor, Department of Paediatric Surgery, Khalifa Gulnawaz Teaching Hospital, Bannu Medical College, Bannu, Pakistan