Open AccessChallenges, constraints and failures that are related to the posterior sagittal anorectoplasty approach to anorectal malformations in a low-resource context: An experience from a sudanese tertiary referral centre
Author(s) -
Pierluigi Lelli Chiesa,
Antonio Aloi,
Mariagrazia Andriani,
Paolo Giambelli,
Faisal Abdelgalil Nugud,
Osman T. M. Osman,
Angela Riccio,
Fábio Rossi,
Diaaeldinn Yaseen Salman,
Alessandro Calisti
Publication year - 2020
Publication title -
african journal of paediatric surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.163
H-Index - 17
eISSN - 0189-6725
pISSN - 0974-5998
DOI - 10.4103/ajps.ajps_16_20
Subject(s) - medicine , colostomy , referral , context (archaeology) , tertiary referral centre , surgery , general surgery , pediatrics , nursing , paleontology , biology
Anorectal malformations (ARMs) in the sub-Saharan Africa are a common cause of neonatal referral for intestinal obstruction, and the posterior sagittal anorectoplasty (PSARP) approach is rapidly spreading. The small number of paediatric surgeons and the low-resource context limit children's access to care and constrain the quality of results. A retrospective, observational study has been done on a consecutive series of ARM cases admitted to a Sudanese tertiary paediatric surgical centre within the framework of a partnership between Italian and Sudanese academic institutions addressed to review and upgrade the standard of care of major congenital anomalies.