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Excellent survival of surgical neonates of western countries could not be duplicated in our region. One very important issue is our failure to maintain reproducible and objective records in our institutions. If we were able to do that more accurately, I fear that the figures of high morbidity and mortality will further rise. Here the commentary is not on sporadic and some selected institutions, but to take into account entire health services picture.

On Reducing Mortality and Morbidity of Neonatal Surgical Care