The scope of operative general paediatric surgical diseases in South Africa—the Chris Hani Baragwanath experience

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The scope of operative general paediatric surgical diseases in South Africa—the Chris Hani Baragwanath experience


JournalAnnals of Pediatric Surgery
Article typeJournal research article – Clinical research
Publication date – Dec – 2020
Authors – Maame Tekyiwa Botchway, Deidre Kruger, Charles Adjei Manful & Andrew Grieve
KeywordsCongenital anomalies, global surgery, Operative burden, Paediatric surgical diseases, South Africa
Open access – Yes
SpecialityGeneral surgery, Paediatric surgery
World region Southern Africa
Country: South Africa
Language – English
Submitted to the One Surgery Index on January 4, 2021 at 6:06 am
Abstract:

Background
Infectious diseases have always been the lime light of global health with very little focus on childhood surgical conditions despite the fact that children constitute about half of the population in LMICs. A significant proportion of the burden of global disease can be reduced by surgical intervention. South Africa is one of the pioneers of the practice of paediatric surgery in Africa with a great burden of paediatric surgical conditions.

Few studies, if any, have investigated the burden of operative paediatric surgical procedures in South Africa. Therefore, this retrospective study aimed to look at the scope of operative paediatric surgical procedures at the Chris Hani Baragwanath Academic Hospital (CHBAH) based in Johannesburg, South Africa, and reports on the numbers of elective and emergency procedures over a 12-month study period.

Results
There were 1699 operative general paediatric surgical procedures of which 61.7% were electives and 38.3% were emergencies. The scope of general paediatric surgical conditions operated on fell under the categories of congenital anomalies, infections and tumours. Of these, surgeries for congenital anomalies were performed in almost all the subspecialties.

Conclusion
There is a high operative paediatric surgical burden at the CHBAH. The role of paediatric surgical care as an essential component of global health cannot be underrated.

OSI Number – 20849

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