Lack of access to pediatric medical devices and innovative technology contributes to global disparities in children's surgical care. There are currently many barriers that prevent access to these technologies in low- and middle-income countries (LMICs). Technologies that were designed for the needs of high-income countries (HICs) may not fit the resources available in LMICs. Likewise, obtaining these devices are costly and require supply chain infrastructure. Once these technologies have reached the LMIC, there are many issues with sustainability and maintenance of the devices. Ideally, devices would be created for the needs and resources of LMICs, but there are many obstacles to innovation that are imposed by institutions in both HICs and LMICs. Fortunately, there is a growing interest for development of this space, and there are many examples of current technologies that are paving the way for future innovations. Innovations in simulation-based training with incorporated learner self-assessment are needed to fast-track skills acquisition for both specialist trainees and non-specialist children's surgery providers, to scale up access for the larger population of children. Pediatric laparoscopy and imaging are some of the innovations that could make a major impact in children's surgery worldwide.

缺乏儿科医疗设备和创新技术导致了全球儿童外科护理方面的差异。目前，低收入和中等收入国家 (LMIC) 获取这些技术存在许多障碍。专为满足高收入国家 (HIC) 需求而设计的技术可能不适合中低收入国家 (LMIC) 的可用资源。同样，获得这些设备成本高昂，并且需要供应链基础设施。一旦这些技术到达中低收入国家，设备的可持续性和维护就会出现许多问题。理想情况下，设备的设计应满足中低收入国家的需求和资源，但高收入国家和中低收入国家的机构都对创新设置了许多障碍。幸运的是，人们对这一领域的发展越来越感兴趣，并且有许多当前技术的例子正在为未来的创新铺平道路。需要对基于模拟的培训进行创新，并结合学习者自我评估，以快速跟踪专科学员和非专科儿童手术提供者的技能获取，从而扩大更多儿童的机会。小儿腹腔镜检查和成像是可能对全球儿童手术产生重大影响的一些创新。