Without the help of international teams, there would be no specialized pediatric surgical care in Eritrea. That is why three pediatric surgical teams from ARCHEMED travel to Asmara at regular intervals to close this care gap. At least, local surgeons provide emergency care, for example, for appendicitis, intestinal obstruction, or infections, and, resources permitting, also elective treatment for children with inguinal and umbilical hernias or undescended testicles. Procedures on newborns or infants are rarely or never performed by them, not least for anesthesiological reasons.
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Consequently, a large number of children with common surgical conditions of childhood and adolescence remain untreated, as local colleagues cannot adequately care for them due to the high nationwide incidence. These children are then presented to the ARCHEMED pediatric surgeons. This includes patients with interim care, such as an emergency colostomy, who need to be diagnosed and treated so that they can be cured of their debilitating problems and lead as normal a life as possible. Children with congenital malformations of the gastrointestinal tract, urinary tract, skeleton, or soft tissues must be operated on early, sometimes even after birth. Here, the presence of a pediatric surgical team, including its pediatric anesthesiologists, can be a blessing, as affected children would otherwise have no chance. A more complex group consists of patients with tumors of various locations, which need to be diagnosed and, if surgically possible, treated on site.
The frequency of these specialized interventions entails the obligation for follow-up care, which is ensured by the various teams during their respective stays. Patients are specifically recalled for this purpose and reliably travel from more remote regions of the country. Younger local surgeons are involved in all activities, even though there is currently no independent pediatric surgical training in the country.
The presence of qualified teams must be spread throughout the year and cover periods of at least 2–3 weeks on site, enough time for 50–80 surgical procedures each.
Project Management
Team Bremen: Prof. Dr. Christian Lorenz, Pediatric Surgeon, Bremen
Team Dortmund: Dr. Andreas Leutner, Pediatric Surgeon, Dortmund
Team Denmark: Dr. Kolja Kvist, Pediatric Surgeon, Copenhagen