A male child was born on 11/11/2016 in the largest pediatric government hospital in
the entire state of Tamil Nadu, India. This hospital provides care for children from
low socio-economic backgrounds and is a free hospital. The baby was born with esophageal
atresia, tracheoesophageal fistula, respiratory failure of newborn, and septicemia
of newborn. Surgery was performed on the newborn, including lung decortication, ligation
esophagus, laparotomy, and duodenoduodenostomy. The patient was not kept in the NICU
post operation and died 4 days later. There is a consensus that different mechanisms
and causes are involved that led to this outcome and similar outcomes due to pediatric
surgical conditions globally. There is extensive global literature that helps us to
understand the complex and multifactorial nature of the state of global surgery. The
current goals and interventions center around surgical system strengthening and capacity
building. It is important to note that pediatric surgical system strengthening in
LMICs will take significantly more time and a multitude of resources in comparison
to general adult surgery systems, as pediatric surgery is a niche and complex field.
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Article info
Publication history
Accepted:
January 15,
2023
Received:
January 10,
2023
Publication stage
In Press Accepted ManuscriptIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
