Gradual Bedside Reduction of Gastroschisis in a Resource Constrained Setting: Preliminary Results from 32 Cases  

作　　者：Nyanit Bob Dorcas Ntsobé Eric Tobie Ndikontar Raymond Kouna Tsala Irène Nadine Ndongo René Bougoue Takou Horline Vougmo Clémence Kana Serges Paule Ngayap Guy Owono Etoundi Paul Essiene Agnès Steyaert Henri Nyanit Bob Dorcas;Ntsobé Eric Tobie;Ndikontar Raymond;Kouna Tsala Irène Nadine;Ndongo René;Bougoue Takou Horline;Vougmo Clémence;Kana Serges Paule;Ngayap Guy;Owono Etoundi Paul;Essiene Agnès;Steyaert Henri(Pediatric Surgery Unit, Yaounde Central Hospital, Yaoundé, Cameroon;Faculty of Medicine and Biomedical Sciences, the University of YaoundéI, Yaoundé, Cameroon;Chantal Biya Fondation (Yaounde), Mother and Child Center, Yaoundé, Cameroon;Department of Surgery, Université Libre de Bruxelles (ULB), Bruxelles, Belgium)

机构地区：[1]Pediatric Surgery Unit, Yaounde Central Hospital, Yaoundé, Cameroon [2]Faculty of Medicine and Biomedical Sciences, the University of YaoundéI, Yaoundé, Cameroon [3]Chantal Biya Fondation (Yaounde), Mother and Child Center, Yaoundé, Cameroon [4]Department of Surgery, Université Libre de Bruxelles (ULB), Bruxelles, Belgium

出　　处：《Open Journal of Pediatrics》2023年第5期669-675,共7页儿科学期刊（英文）

摘　　要：Introduction: Gastroschisis is one of the neonatal pathologies with bad prognosis in developing countries due to a lack of equipment. We aim to report one way of managing this malformation that could be practised everywhere, constituting an alternative approach to surgery in poor areas. Patients and Methods: This observational and descriptive study included newborn babies with gastroschisis who underwent gradual bedside reduction at the Paediatric Surgery Department of the Yaounde Central Hospital. Results: Our cohort was constituted by 32 newborn babies with a mean age of 18.12 hours on admission. The Lefort type 2 was the most frequent in 81.25% of cases. The mean time for oral feeding after complete reduction was 17.4 days and the duration of hospital stay was 24.91 days. Survival rates were at 40.63%, with a residual hernia after healing in 38.46% of cases. Conclusion: Despite the high rate of mortality, gradual reduction of gastroschisis at the bedside seems to be an opportunity for resource constrained areas and can be an alternative solution to surgery.Introduction: Gastroschisis is one of the neonatal pathologies with bad prognosis in developing countries due to a lack of equipment. We aim to report one way of managing this malformation that could be practised everywhere, constituting an alternative approach to surgery in poor areas. Patients and Methods: This observational and descriptive study included newborn babies with gastroschisis who underwent gradual bedside reduction at the Paediatric Surgery Department of the Yaounde Central Hospital. Results: Our cohort was constituted by 32 newborn babies with a mean age of 18.12 hours on admission. The Lefort type 2 was the most frequent in 81.25% of cases. The mean time for oral feeding after complete reduction was 17.4 days and the duration of hospital stay was 24.91 days. Survival rates were at 40.63%, with a residual hernia after healing in 38.46% of cases. Conclusion: Despite the high rate of mortality, gradual reduction of gastroschisis at the bedside seems to be an opportunity for resource constrained areas and can be an alternative solution to surgery.

关 键 词：GASTROSCHISIS Lefort Type 2 Gradual Reduction Limited Resources 

分 类 号：R73[医药卫生—肿瘤]