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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.

Archemed Ward Renovation
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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

Mis­si­on Reports