Multi-trauma injuries and level of preparedness in transit refugee camps: a case in Idomeni, Greece

Gargavanis, Athanasios; Kanistra, Kyriaki A; Διαμαντόπουλος, Κωνσταντίνος; Liasis, Dimitrios; Photiou, Efstratios; Giakoustidis, Dimitrios; Riza, Elena

doi:10.1080/13623699.2019.1635279

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…Open access settings are limited but growing. [5][6][7][8][9][10] Even sparser are data related to the provision of pediatric surgery among refugee children. 11 12 There are no identifiable published studies assessing the provision of pediatric surgery within a protracted refugee setting.…”

Section: What This Study Addsmentioning

confidence: 99%

Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience

Rapaport

Enumah

Ngude

et al. 2023

World Jnl Ped Surgery

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BackgroundThere are 103 million displaced people worldwide, 41% of whom are children. Data on the provision of surgery in humanitarian settings are limited. Even scarcer is literature on pediatric surgery performed in humanitarian settings, particularly protracted humanitarian settings.MethodsWe reviewed patterns, procedures, and indications for pediatric surgery among children in Nyarugusu Refugee Camp using a 20-year retrospective dataset.ResultsA total of 1221 pediatric surgical procedures were performed over the study period. Teenagers between the ages of 12 and 17 years were the most common age group undergoing surgery (n=991; 81%). A quarter of the procedures were performed on local Tanzanian children seeking care in the camp (n=301; 25%). The most common procedures performed were cesarean sections (n=858; 70%), herniorrhaphies (n=197; 16%), and exploratory laparotomies (n=55; 5%). Refugees were more likely to undergo exploratory laparotomy (n=47; 5%) than Tanzanian children (n=7; 2%; p=0.032). The most common indications for exploratory laparotomy were acute abdomen (n=24; 44%), intestinal obstruction (n=10; 18%), and peritonitis (n=9; 16%).ConclusionsThere is a significant volume of basic pediatric general surgery performed in the Nyarugusu Camp. Services are used by both refugees and local Tanzanians. We hope this research will inspire further advocacy and research on pediatric surgical services in humanitarian settings worldwide and illuminate the need for including pediatric refugee surgery within the growing global surgery movement.

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Section: What This Study Addsmentioning

confidence: 99%

Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience

Rapaport

Enumah

Ngude

et al. 2023

World Jnl Ped Surgery

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Epidemiology of surgery in a protracted humanitarian setting: a 20-year retrospective study of Nyarugusu Refugee Camp, Kigoma, Western Tanzania

et al. 2021

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Background There are 80 million forcibly displaced persons worldwide, 26.3 million of whom are refugees. Many refugees live in camps and have complex health needs, including a high burden of non-communicable disease. It is estimated that 3 million procedures are needed for refugees worldwide, yet very few studies exist on surgery in refugee camps, particularly protracted refugee settings. This study utilizes a 20-year dataset, the longest dataset of surgery in a refugee setting to be published to date, to assess surgical output in a setting of protracted displacement. Methods A retrospective review of surgeries performed in Nyarugusu Camp was conducted using paper logbooks containing entries between November 2000 and September 2020 inclusive. Abstracted data were digitized into standard electronic form and included date, patient nationality, sex, age, indication, procedure performed, and anesthesia used. A second reviewer checked 10% of entries for accuracy. Entries illegible to both reviewers were excluded. Demographics, indication for surgery, procedures performed, and type of anesthesia were standardized for descriptive analysis, which was performed in STATA. Results There were 10,799 operations performed over the 20-year period. Tanzanians underwent a quarter of the operations while refugees underwent the remaining 75%. Ninety percent of patients were female and 88% were 18 years of age or older. Caesarean sections were the most common performed procedure followed by herniorrhaphies, tubal ligations, exploratory laparotomies, hysterectomies, appendectomies, and repairs. The most common indications for laparotomy procedures were ectopic pregnancy, uterine rupture, and acute abdomen. Spinal anesthesia was the most common anesthesia type used. Although there was a consistent increase in procedural volume over the study period, this is largely explained by an increase in overall camp population and an increase in caesarean sections rather than increases in other, specific surgical procedures. Conclusion There is significant surgical volume in Nyarugusu Camp, performed by staff physicians and visiting surgeons. Both refugees and the host population utilize these surgical services. This work provides context to the surgical training these settings require, but further study is needed to assess the burden of surgical disease and the extent to which it is met in this setting and others.

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Multi-trauma injuries and level of preparedness in transit refugee camps: a case in Idomeni, Greece

Cited by 2 publications

References 11 publications

Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience

Patterns, procedures, and indications for pediatric surgery in a Tanzanian Refugee Camp: a 20-year experience

Epidemiology of surgery in a protracted humanitarian setting: a 20-year retrospective study of Nyarugusu Refugee Camp, Kigoma, Western Tanzania

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