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Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience

BACKGROUND: There are 103 million displaced people worldwide, 41% of whom are children. Data on the provision of surgery in humanitarian settings are limited. Even scarcer is literature on pediatric surgery performed in humanitarian settings, particularly protracted humanitarian settings. METHODS: W...

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Autores principales: Rapaport, Sarah, Enumah, Zachary Obinna, Ngude, Hilary, Rhee, Daniel S, Abbas, Mohamed, Lekey, Amber, Winch, Peter J, Sakran, Joseph V, Stevens, Kent A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314687/
https://www.ncbi.nlm.nih.gov/pubmed/37396496
http://dx.doi.org/10.1136/wjps-2022-000528
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author Rapaport, Sarah
Enumah, Zachary Obinna
Ngude, Hilary
Rhee, Daniel S
Abbas, Mohamed
Lekey, Amber
Winch, Peter J
Sakran, Joseph V
Stevens, Kent A
author_facet Rapaport, Sarah
Enumah, Zachary Obinna
Ngude, Hilary
Rhee, Daniel S
Abbas, Mohamed
Lekey, Amber
Winch, Peter J
Sakran, Joseph V
Stevens, Kent A
author_sort Rapaport, Sarah
collection PubMed
description BACKGROUND: There are 103 million displaced people worldwide, 41% of whom are children. Data on the provision of surgery in humanitarian settings are limited. Even scarcer is literature on pediatric surgery performed in humanitarian settings, particularly protracted humanitarian settings. METHODS: We reviewed patterns, procedures, and indications for pediatric surgery among children in Nyarugusu Refugee Camp using a 20-year retrospective dataset. RESULTS: A total of 1221 pediatric surgical procedures were performed over the study period. Teenagers between the ages of 12 and 17 years were the most common age group undergoing surgery (n=991; 81%). A quarter of the procedures were performed on local Tanzanian children seeking care in the camp (n=301; 25%). The most common procedures performed were cesarean sections (n=858; 70%), herniorrhaphies (n=197; 16%), and exploratory laparotomies (n=55; 5%). Refugees were more likely to undergo exploratory laparotomy (n=47; 5%) than Tanzanian children (n=7; 2%; p=0.032). The most common indications for exploratory laparotomy were acute abdomen (n=24; 44%), intestinal obstruction (n=10; 18%), and peritonitis (n=9; 16%). CONCLUSIONS: There is a significant volume of basic pediatric general surgery performed in the Nyarugusu Camp. Services are used by both refugees and local Tanzanians. We hope this research will inspire further advocacy and research on pediatric surgical services in humanitarian settings worldwide and illuminate the need for including pediatric refugee surgery within the growing global surgery movement.
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spelling pubmed-103146872023-07-02 Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience Rapaport, Sarah Enumah, Zachary Obinna Ngude, Hilary Rhee, Daniel S Abbas, Mohamed Lekey, Amber Winch, Peter J Sakran, Joseph V Stevens, Kent A World J Pediatr Surg Original Research BACKGROUND: There are 103 million displaced people worldwide, 41% of whom are children. Data on the provision of surgery in humanitarian settings are limited. Even scarcer is literature on pediatric surgery performed in humanitarian settings, particularly protracted humanitarian settings. METHODS: We reviewed patterns, procedures, and indications for pediatric surgery among children in Nyarugusu Refugee Camp using a 20-year retrospective dataset. RESULTS: A total of 1221 pediatric surgical procedures were performed over the study period. Teenagers between the ages of 12 and 17 years were the most common age group undergoing surgery (n=991; 81%). A quarter of the procedures were performed on local Tanzanian children seeking care in the camp (n=301; 25%). The most common procedures performed were cesarean sections (n=858; 70%), herniorrhaphies (n=197; 16%), and exploratory laparotomies (n=55; 5%). Refugees were more likely to undergo exploratory laparotomy (n=47; 5%) than Tanzanian children (n=7; 2%; p=0.032). The most common indications for exploratory laparotomy were acute abdomen (n=24; 44%), intestinal obstruction (n=10; 18%), and peritonitis (n=9; 16%). CONCLUSIONS: There is a significant volume of basic pediatric general surgery performed in the Nyarugusu Camp. Services are used by both refugees and local Tanzanians. We hope this research will inspire further advocacy and research on pediatric surgical services in humanitarian settings worldwide and illuminate the need for including pediatric refugee surgery within the growing global surgery movement. BMJ Publishing Group 2023-06-21 /pmc/articles/PMC10314687/ /pubmed/37396496 http://dx.doi.org/10.1136/wjps-2022-000528 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Rapaport, Sarah
Enumah, Zachary Obinna
Ngude, Hilary
Rhee, Daniel S
Abbas, Mohamed
Lekey, Amber
Winch, Peter J
Sakran, Joseph V
Stevens, Kent A
Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience
title Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience
title_full Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience
title_fullStr Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience
title_full_unstemmed Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience
title_short Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience
title_sort patterns, procedures, and indications for pediatric surgery in a tanzanian refugee camp: a 20-year experience
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314687/
https://www.ncbi.nlm.nih.gov/pubmed/37396496
http://dx.doi.org/10.1136/wjps-2022-000528
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