TITLE:
Gradual Bedside Reduction of Gastroschisis in a Resource Constrained Setting: Preliminary Results from 32 Cases
AUTHORS:
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
KEYWORDS:
Gastroschisis, Lefort Type 2, Gradual Reduction, Limited Resources
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.13 No.5,
September
18,
2023
ABSTRACT: 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.