Documentation of Pediatric Surgery Experiences of a Tertiary Referral Hospital: International Classification of Diseases Spectrum for Teaching, Planning, and Scaling Up Services

Abstract

Introduction: Pediatric surgery provides the opportunity to intervene positively in a variety of disorders that can have a long-term impact. It becomes important to systematically analyze the features of & amp; facilities for Paediatric surgery at a referral hospital.

Objective: The objective of this study was to evaluate the significance of pediatric surgery under vast circumstances.

Materials and Methods: All children aged 0–10 years who were operated in a tertiary care hospital were studied.The International Statistical Classification of Diseases and Related Health Problems 10th Revision (International Classification of Diseases [ICD]-10)-WHO Version (2016) was used to group the cases, which included terminology from the ICD-11 Beta Draft.

Results: “Developmental anomalies” made up 79.1% of the cases, while “acquired conditions requiring surgical intervention” made up 20.9%. The common congenital malformations were those of the genital organs (17%), followed by those of the digestive (13%) and nervous system (13%), urinary system (12%), circulatory system (8%), and cleft lip and palate (7%). Cleft lip and palate repair, as well as genital, digestive, nervous, urinary, and musculoskeletal system defects, should all be part of the essential surgery package for congenital anomalies. Referral to superspecialty center is required only for “congenital malformations of the circulatory system.”

Conclusion: The majority of the workload (79.1%) is due to "developmental abnormalities," indicating a need for expertise in repairing these, as well as restoring anatomy for optimal growth and physiological function. The essential surgery package for congenital anomalies at the second- and third-level hospitals should include expertise for anomalies of all systems. Inclusion of indirect inguinal hernia in the Chapter 20 ‘Developmental anomalies’ (ICD-11) will contribute to correct international comparisons and guide planning.