Major abdominal wall defects in the low- and middle-income setting: current status and priorities

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Major abdominal wall defects in the low- and middle-income setting: current status and priorities


JournalPediatric Surgery International
Publication date – Mar – 2020
Authors – Lofty-John Chukwuemeka Anyanwu, Niyi Ade-Ajayi & Udo Rolle
KeywordsAbdominal wall defects; Gastroschisis; High-income countries; Low- and middle-income countries; Omphalocele
Open access – Yes
SpecialityGeneral surgery, Paediatric surgery
World region Global

Language – English
Submitted to the One Surgery Index on May 29, 2020 at 12:15 pm
Abstract:

Major congenital abdominal wall defects (gastroschisis and omphalocele) may account for up to 21% of emergency neonatal interventions in low- and middle-income countries. In many low- and middle-income countries, the reported mortality of these malformations is 30-100%, while in high-income countries, mortality in infants with major abdominal wall reaches less than 5%. This review highlights the challenges faced in the management of newborns with major congenital abdominal wall defects in the resource-limited setting. Current high-income country best practice is assessed and opportunities for appropriate priority setting and collaborations to improve outcomes are discussed.

OSI Number – 20442
PMID – 32200405

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