Common paediatric surgical problems in Bangladesh: experience in tertiary care center, Dhaka, Bangladesh

M. Shahjahan; Khondaker M. Elahi; Nusrat J. Nrjana; M. Kabirul Islam

doi:10.18203/2349-3291.ijcp20242010

Authors

M. Shahjahan Department of Pediatric Surgery, Anower Khan Modern Medical College Hospital, Dhaka, Bangladesh
Khondaker M. Elahi Department of Pediatric Surgery, Anower Khan Modern Medical College Hospital, Dhaka, Bangladesh
Nusrat J. Nrjana Department of Pediatric Surgery, Anower Khan Modern Medical College Hospital, Dhaka, Bangladesh
M. Kabirul Islam Department of Pediatric Surgery, Community Based Medical College Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2349-3291.ijcp20242010

Keywords:

Comorbidity, Surgeons, Pediatricians, Anesthesiologists

Abstract

Background: There are several challenges at the global and national levels that contribute to surgery in children's health. The aim of the study was to evaluate the surgical problems in children in Dhaka Shishu Hospital-that is in Bangladesh.

Methods: This retrospective study was carried out in the department of pediatric surgery, Dhaka Shishu Hospital. A retrospective study of surgical problems in children’s in the last 10 (September 2013 to October 2023) years were done in admitted patients in the surgery department. A total of 12689 patients were participated in the study. The surgical units of this hospital contain 100 beds. So, the average total number of surgical patients are 200. This is for the first time in our country an attempt is made to present a data of surgical problems in children’s in Bangladesh in the experience of Dhaka Shishu Hospital. Statistical analyses of the results were obtained by using statistical packages for social sciences (SPSS-24).

Results: A total number of 12689 patients; aged <10 years; admitted in the surgical units of Dhaka Shishu Hospital in the last 10 years were reviewed. Male patients were 59%, female 42%. Among them 29% were of age below 1 year, 43% from 1 to 5 years and 29% were above 5 years. Gastro-intestinal disorders were the commonest problem observed-constituting 43.9% of cases, while 9.2% of children came with burn injury.

Conclusions: The management of surgical problems often requires a multidisciplinary approach and advancements in surgical techniques, anesthesia, and perioperative care have improved the surgical interventions in pediatric patients over the years.

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References

Ozgediz D, Langer M, Kisa P, Poenaru D. Pediatric surgery as an essential component of global child health. In: Seminars in pediatric surgery. WB Saunders. 2016;25(1):3-9.

Kim JY, Farmer P, Porter ME. Redefining global health-care delivery. The Lancet. 2013;382(9897):1060-9.

Bickler SW, Rode H. Surgical services for children in developing countries. Bull World Health Org. 2002;80:829-35.

Meara JG, Leather AJ, Hagander L, Alkire BC, Alonso N, Ameh EA, et al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. The Lancet. 2015;386(9993):569-624.

Shrime MG, Bickler SW, Alkire BC, Mock C. Global burden of surgical disease: an estimation from the provider perspective. Lancet Global Health. 2015;3:S8-9.

Canfin P, Eide EB, Natalegawa M, Ndiaye M, Nkoana-Mashabane M, Patriota A, et al. Our common vision for the positioning and role of health to advance the UN development agenda beyond 2015. The Lancet. 2013;381(9881):1885-6.

Greenberg SL, Ng-Kamstra JS, Ameh EA, Ozgediz DE, Poenaru D, Bickler SW. An investment in knowledge: research in global pediatric surgery for the 21st century. In: Seminars in pediatric surgery. WB Saunders. 2016;25(1):51-60.

Bickler SW, Kyambi J, Rode H. Pediatric surgery in sub-Saharan Africa. Pediatr Surg Int. 2001;17:442-7.

Okoye MT, Ameh EA, Kushner AL, Nwomeh BC. A pilot survey of pediatric surgical capacity in West Africa. World J Surg. 2015;39:669-76.

Meara JG, Hagander L, Leather AJ. Surgery and global health: a Lancet Commission. The Lancet. 2014 Jan 4;383(9911):12-3.

Saifullah S, Chandra RK, Pathak IC, Dhall GI. Congenital malformations in new born. A prospective longitudinal study. A preliminary report on 1000 consecutive births. Indian Pediatr. 1967;4(6):251-61.

Ozgediz D, Poenaru D. The burden of pediatric surgical conditions in low- and middle-income countries: a call to action. J Pediatr Surg. 2012;47(12):2305-11.

Snyder WH, Kraus AR, Chaffin L. Intussusception in infants and children: A report of 143 consecutive cases. Ann Surg. 1949;130(2):200-10.

Packard GB, Allen RP. Results in the treatment of intussusception in infants and children. Surgery. 1957;41(4):567-75.