Bulletin of the World Health Organization

Paediatric surgery and anaesthesia in south-western Uganda: a cross-sectional survey

Isabeau A Walker, Apunyo D Obua, Falan Mouton, Steven Ttendo & Iain H Wilson

Volume 88, Number 12, December 2010, 897-906

Table 5. Surgical conditions in children aged ≤ 14 years in 29 hospitalsa performing major surgery in 14 districts of south-western Uganda, 1 August 2007 to 31 July 2008

Diagnosis Procedures
Age (years)
No. % Median Range
Trauma and burns
Wound requiring surgical debridement 1201 22.42 7 0.03–14
Burn/contracture 215 4.01 4 0.2–14
Laceration 54 1.0 7.5 0.25–14
Lesion requiring amputation (unspecified) 53 0.99 8 0.4–14
Fracture requiring surgical intervention 48 0.90 3.5 0.02–14
Soft tissue trauma 18 0.34 10 0.9–14
Head injury 9 0.17 6 0.2–13
Snake bite 3 0.06 10 0.3–12
Abdominal trauma 2 0.04 5.5 3–8
Fracture necrosis 1 0.02 12
Other 15 0.28 8 0.01–13
Subtotal 1619 30.22 7 0.03–14
Congenital anomalies
Hernia (inguinal, umbilical) 479 8.94 4 0.008–14
Cleft lip and palate 140 2.61 2 0.1–14
Minor anomalies (tongue tie/extra digit) 87 1.62 0.5 0.003–10
Club foot 25 0.47 5 0.75–14
Undescended testis 18 0.34 5 0.75–14
Anorectal abnormality 23 0.43 0.1 0.03–9
Meningomyelocoele 9 0.17 0.005 0.003–0.02
Hirschsprung's disease 7 0.13 2 0.01–4
Hypospadias 3 0.06 1 0.25–4
Omphalocoele 3 0.06 0.02 0.008–0.06
Cystic hygroma 2 0.04 8 3–13
Subtotal 796 14.86 5 0.008–14
Surgical infections
Abscess 687 12.82 3 0.05–14
Osteomyelitis 67 1.25 9 0.8–14
Septic arthritis 16 0.30 2 0.07–13
Empyema 7 0.13 6 3.5–13
Pyomyositis 5 0.09 4 1–12
Cellulitis 5 0.09 1 0.04–13
Other 12 0.22 4.25 0.01–14
Subtotal 799 14.91 3.5 0.005–14
General paediatric surgery and urology
Phimosis/social circumcision 610 11.39 2.5 0.003–14
Intra-abdominal condition requiring laparotomy 249 4.63 7 0.008–14
Superficial lesion requiring excision 134 2.50 8 0.08–14
Neoplasm – excision/biopsy 52 0.97 8 0.02–14
Intussussception 22 0.41 0.7 0.17–14
Appendicitis 5 0.09 8 5–13
Rectal prolapse 12 0.22 2.5 0.17–10
Thyroid mass 2 0.04 9.5 5–14
General surgery other 126 2.35 7 0.003–14
Bladder stone 3 0.06 3 1–12
Urinary retention 1 0.02 14
Other urology 100 1.87 6 0.003–14
Gynaecological cases 22 0.41 1.4 0.04–14
Subtotal 1338 24.99 5 0.003–14
Ear, nose and throat
Foreign body (unspecified) 241 4.50 4 0.2–14
Tonsillectomy 26 0.49 7 1.6–13
Inhaled foreign body 2 0.04 3 0.33–11
Other 5 0.09 9 0.3–13
Subtotal 274 5.11 4 0.2–14
Neurosurgical
Intracranial lesion requiring craniotomy 1 0.02 7
Orthopaedic surgery 150 2.80 7 0.08–14
Pregnancy related
Caesarean section (unspecified indication) 23 0.43 14 12–14
Retained products of conception 9 0.17 14 14–14
Subtotal 32 0.60 14 12–14
Ophthalmological cases 348 6.50 6 0.2–14
Total all cases 5357 100 5 0.003–14

a Data from 1 August 2007 to 22 January 2008 only were obtained from the Kabale regional referral hospital.

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