The value and weakness of Medical Mission Work in ARM

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• Medical missions provide valuable surgical training opportunities but require careful patient selection and realistic outcome expectations
• Short-term mission work may create dependency rather than sustainable local capacity without proper follow-up infrastructure
• Anorectal malformation surgery demands specialized expertise that may not be available for postoperative complications in mission settings
• Ethical considerations include ensuring adequate long-term care pathways before performing complex reconstructive procedures abroad
• Building local surgical capacity through education and mentorship is more sustainable than episodic intervention-focused missions

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