دورية أكاديمية
Evaluation of the Management of Gastroschisis in Aristide Le Dantec University Hospital Center in Dakar.
العنوان: | Evaluation of the Management of Gastroschisis in Aristide Le Dantec University Hospital Center in Dakar. |
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المؤلفون: | Camara S; Department of Pediatric Surgery, Aristide Le Dantec University Hospital, Dakar, Senegal., Tenfa DY, Fatou SY, Yacine F, Fall M, Ndour O |
المصدر: | African journal of paediatric surgery : AJPS [Afr J Paediatr Surg] 2024 Mar 14. Date of Electronic Publication: 2024 Mar 14. |
Publication Model: | Ahead of Print |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Medknow Publications Country of Publication: India NLM ID: 101255062 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0974-5998 (Electronic) Linking ISSN: 09745998 NLM ISO Abbreviation: Afr J Paediatr Surg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2008-> : Mumbai : Medknow Publications Original Publication: Jos, Plateau State, Nigeria : Dept. of Surgery, Jos University Teaching Hospital |
مستخلص: | Introduction: The management of gastroschisis remains problematic in low- and middle-income countries with high perioperative mortality. The objective of this work was to make an initial assessment of our management of gastroschisis. Materials and Methods: This was a monocentric and cross-sectional study including all newborns with gastroschisis between January 2017 and December 2021 in the Pediatric Surgery and Anesthesia Resuscitation Department of the Aristide Le Dantec University Hospital Center from Dakar. The socio-demographic, diagnostic, therapeutic and evolutionary parameters were studied. Results: Were collected 18 cases of gastroschisis (11 males and 7 females). The mothers were on average 23.1 ± 5.7 years old. Only one antenatal diagnosis was made. The term of pregnancy was on average 36.5 ± 1.5 weeks. On admission, the mean age was 16.8 ± 6.3 h and the mean weight 2244 ± 260.3 g. Gastroschisis was complex in four patients. Primary bowel reintegration was performed in 8 cases (44.4%) and progressive reintegration using an Applied Alexis retractor in 9 newborns (55.6%). Complications were dominated by respiratory distress (28.3%) and sepsis (22.2%). The mean delay of oral feeding was 5.1 ± 1.9 days. Mortality was 94.4% (17/18). Conclusion: Reducing gastroschisis-related mortality in our low-income countries remains a major challenge. (Copyright © 2024 Copyright: © 2024 African Journal of Paediatric Surgery.) |
تواريخ الأحداث: | Date Created: 20240323 Latest Revision: 20240323 |
رمز التحديث: | 20240324 |
DOI: | 10.4103/ajps.ajps_68_22 |
PMID: | 38520242 |
قاعدة البيانات: | MEDLINE |
تدمد: | 0974-5998 |
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DOI: | 10.4103/ajps.ajps_68_22 |