Factors Affecting Survival in Nontraumatic Pediatric Abdominal Surgical Emergencies: A Contemporary Review

Abstract

Surgically curable illnesses in the pediatric population are a major public health issue with a high prevalence of 10%-33% of all pediatric admissions, and emergency situations account for 50%-78% of surgical cases. Emergency abdominal surgery in children necessitates proper and prompt surgical and perioperative supportive care. When compared to elective operations, emergency surgery has a greater rate of morbidity and fatality. Staffing concerns, access to operating theaters, and access to diagnostic investigations are all possible causes of this high fatality rate, in addition to patient-related factors. Literature from high-income countries (HICs) discusses the problem, and recommendations are available for high-quality setups with good infrastructure. However, surgical care facilities from resource-poor countries have altogether different challenges and bottlenecks when dealing with children requiring emergency surgical operative procedures to save lives. This review aims to discuss factors affecting the survival of children being operated on for abdominal emergencies in resource-poor setups and suggest recommendations.

Frequency of Various Etiological Causes of Intestinal Obstruction in Children

“…It was found that obstructed hernia, intussusception and adhesions were associated with gender. 18 Previous studies have reported worms as a most common cause of intestinal obstruction in 63.2% and adhesions in 11% cases. 19,20 In this study causes of intestinal obstruction and demographics of the patients were reported.…”

The Epidemiology of Various Intestinal Obstruction Causes in Children and Teenagers: A Multi-Center Study

“…Epidemiology in this region is more significant than in the west According to research by David et al, children And Teenagers with intestinal blockage had symptoms on average for 03.93 02.64 days, but in our study, the average symptom duration was 02.36 06.72 days 15 . 14 Age, gender, the length of the disease's symptoms, and the presence of symptoms were all listed by Harshal et al as study impact modifiers 16 . The age of the patients and the disease's etiological causes were shown to be strongly correlated.…”