Achievement of Pediatric Surgery in Bangladesh

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A total of 20, 202 patients of age 0-12 years, admitted in the surgical units of Dhaka Shishu (Children) Hospital and Aichi Shishu Hospital in the last 10 years, were reviewed. 57% of them were male & 43% were female. 24% were of below 1 year, 45% from 1 to 5 years and 31% were above 5 years. Gastrointestinal disorder were the commonest, constituting 47.35% (9570) of cases. They were mostly intestinal obstruction (8.01%), acute appendicitis (7.71%), ascariasis (6.28%) and congenital anorectal anomalies (5.54%). Remarkable development was achieved in the management of gastrointestinal disorders. 4029 urogenital disorders (19.9%) included inguino-scrotal swelling, phimosis, para phimosis and hypospadias securing the second position. Excellent surgical outcome was achieved in the recent years. Patients having congenital disorders (8.9%) consist of telepes equinovarus, cleftlip and cleft palate who were also managed surgically with a good success rate. Among 530 (2.62%) malignant cases, Wilms tumor & neuroblastoma were managed surgically and remaining ones got chemotherapy. Out of 39 cases of diaphragmatic hernia, 13 cases (33%) survived after the primary closure of the diaphragm. Four out of 13 cases of tracheo-esophageal fistula survived after primary anastomosis. This is for the first time, an attempt is made to present a data of surgical problems in children and their management in Bangladesh.
特定非営利活動法人日本小児外科学会の論文
2001-02-20

Achievement of Pediatric Surgery in Bangladesh

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