Una esperienza di chirurgia addominale d’urgenza nel III mondo

Abdominal emergency surgery in the III world

Federico Bozzetti

I report my experience with EMERGENGY, an Italian ngo,
which took care of paediatric surgical emergencies in
Bangui (Republique Centrafricaine), during the civil war
started in December 2012.
The main problems were due to the lack of diagnostic
facilities, a common situation in countries of the III world,
as well as to the difficulty to face extremely complex
postoperative situations in absence of a surgical intensive
care unit and to the presence of neonatal congenital
pathologies of hard solution. All this obliged the surgeon to
always work within extremely critical margins of error.

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