Background: Plastic and reconstructive surgery in developing countries and underserved areas are significantly limited and face changes to start a proper service. This study presents a review of plastic surgery services and experiences in a district hospital located in an underserved area.Methods: This descriptive, retrospective, hospital-based study was conducted to review patients who presented to the plastic and reconstruction departments from January 2014 to January 2015. All patients seen in the outpatient clinic or emergency departments for plastic surgical consultation or management were included in the study.Results: The total of 403 cases fulfilled the inclusion criteria. The emergency surgical operation performed in our unit were distributed in the following descending order; fingertip injury (32%), cut wrist (12.7%), cut extensor tendon (9.9%), gunshot injuries (9.4%), fracture of a small bone of the hand (8.3%), and lower limb trauma. Surgery for congenital deformities constituted the most elective operation done in our unit (31.6 %), followed by tumor surgery (18.7%), burn surgery (17.3%), aesthetic surgery procedure (12.2%), and other miscellaneous cases (12.2%).Conclusion: This report demonstrates the efficacy of secondary hospital setting to accommodate a large volume of patients during the first year of establishment, and further predicting development needs, staff training, and governmental support.

Burns are considered the fourth most common type of traumatic injury worldwide with significant morbidity and mortality. The aim of this study is to disclose the incidence, etiological factors, treatment, and outcome of pediatric burns in Sudan. This is a retrospective hospital-based study, conducted during 2016- 2019. Patients who presented with burn injuries, managed in the hospital were included in the study. Flowchart sheets were used to collect the data. Then it was entered and analyzed using SPSS version 21 statistical software (IBM Corporation, Chicago, IL). The total number of patients who fulfill our criteria is 85 with a median age of 4 years (7 months -15 years). Sixty-five percent of them were under 5 years with male predominance (55 %). Most patients' burns occurred at home. The median percentage of burn is 18 % (2 -90 %) which is caused by scalding burn among 55.3% followed by the flame burn in 41.2% of patients. Regarding fluid management, 60 % received fluid. Open dressing for burn wounds was done for 75 % and close dressing among 15 % of patients. More than 80 % of the patients in this study were treated and discharged in a good condition while the mortality was 5.9%. This study showed the significant burden of pediatric burns management on general surgery units in a referral hospital. So, equipping the hospital and founding these specialties will decrease this load and will improve the outcome.