Major abdominal wall defects in the low- and middle-income setting: current status and priorities.
- Resource Type
- journal article
- Authors
- Anyanwu, Lofty-John Chukwuemeka; Ade-Ajayi, Niyi; Rolle, Udo
- Source
- Pediatric Surgery International. May2020, Vol. 36 Issue 5, p579-590. 12p. 5 Color Photographs, 2 Diagrams, 7 Charts.
- Subject
- *ABDOMINAL wall
*HIGH-income countries
*MIDDLE-income countries
*INFANT mortality
*ABDOMINAL abnormalities
*MEDICAL care use
*UMBILICAL hernia
*DISEASE management
*DISEASE incidence
*GASTROSCHISIS
*ECONOMICS
- Language
- ISSN
- 0179-0358
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. [ABSTRACT FROM AUTHOR]