%0 Journal Article
%T Gradual Bedside Reduction of Gastroschisis in a Resource Constrained Setting: Preliminary Results from 32 Cases
%A Nyanit Bob Dorcas
%A Ntsob¨¦ Eric Tobie
%A Ndikontar Raymond
%A Kouna Tsala Ir¨¨ne Nadine
%A Ndongo Ren¨¦
%A Bougoue Takou Horline
%A Vougmo Cl¨¦mence
%A Kana Serges Paule
%A Ngayap Guy
%A Owono Etoundi Paul
%A Essiene Agn¨¨s
%A Steyaert Henri
%J Open Journal of Pediatrics
%P 669-675
%@ 2160-8776
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojped.2023.135075
%X 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.
%K Gastroschisis
%K Lefort Type 2
%K Gradual Reduction
%K Limited Resources
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=127713