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

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Anyanwu, Lofty-John Chukwuemeka
Ade-Ajayi, Niyi
Rolle, Udo

Issue Date

2020

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Article

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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.

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Pediatric Surgery International

Volume

36

Issue

5

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