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Debas HT, Donkor P, Gawande A, et al., editors. Essential Surgery: Disease Control Priorities, Third Edition (Volume 1). Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2015 Apr 2. doi: 10.1596/978-1-4648-0346-8_ch8

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Essential Surgery: Disease Control Priorities, Third Edition (Volume 1).

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Table 8.5Pediatric Surgery Capacity in an Ideal System

CapacityVillage health centerFirst-level hospitalSecond-level hospitalThird-level hospital
Airway management, fluid replacement, bleeding control, antibiotic therapyXaXXX
Blood transfusionXaXX
Tracheal tubeXaXX
Local anesthesiaXXXX
Spinal and general anesthesiaXXX
Pediatric herniaXXX
Pediatric hernia (infant)XaX
Umbilical herniaXXX
Pyloric stenosisXaX
ColostomyXaXX
Neonatal bowel obstruction (atresia, stenosis, malrotation)X
Tracheoesophageal fistula repairXa
ClubfootXXX
Cleft lipXXX
Anorectal malformations or Hirschsprung’s disease (first stage; often colostomy)XXX
Anorectal malformations or Hirschsprung’s disease (definitive treatment)XX
Abdominal wall defectsXaX
HydrocephalusXaX
Congenital cardiac anomaliesXaX
Spina bifidaX
Bladder extrophyX
Undescended testiclesXX
HypospadiasX

Note: “Capacity” is defined as trained staff available 24 hours, seven days a week, with adequate equipment and supplies.

a

Capacity should already be there but usually is not.

From: Chapter 8, Surgical Interventions for Congenital Anomalies

© 2015 International Bank for Reconstruction and Development / The World Bank.

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