{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T15:06:06Z","timestamp":1764687966224,"version":"3.37.3"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T00:00:00Z","timestamp":1634774400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T00:00:00Z","timestamp":1634774400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T00:00:00Z","timestamp":1634774400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This research adopted a care protocol from high\u2010income countries in a level II\/III hospital in a middle\u2010income country to decrease morbidity and mortality associated with gastroschisis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We established a multidisciplinary protocol to treat patients with gastroschisis prospectively from November 2012 to November 2018. This included prenatal diagnosis, presence of a neonatologist and pediatric surgeon at birth, and either performing primary closure on the patients with an Apgar score of 8\/9, mild serositis, and no breathing difficulty or placing a preformed silo, when unable to fulfill these criteria, under sedation and analgesia (no intubation) in the operating room or at the patients\u2019 bedside. The subsequent management took place in the neonatal intensive care unit. The data were analyzed through the Mann\u2013Whitney and Student's <jats:italic>t<\/jats:italic>\u2010distribution for the two independent samples; the categorical variables were analyzed through a chi\u2010square distribution or Fisher's exact test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 55 patients were included in the study: 33 patients (60%) were managed with a preformed silo, whereas 22 patients (40%) underwent primary closure. Prenatal diagnosis (<jats:italic>P<\/jats:italic>\u2009=\u20090.02), birth at the main hospital (<jats:italic>P<\/jats:italic>\u2009=\u20090.02), and the presence of a pediatric surgeon at birth (<jats:italic>P<\/jats:italic>\u2009=\u20090.04) were associated with successful primary closure. The primary closure group had fewer fasting days (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and a shorter neonatal intensive care unit length of stay (<jats:italic>P<\/jats:italic>\u2009=\u20090.025). The survival rate was 92.7% (51 patients).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The treatment model modified to fit the means of our hospital proved successful.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-021-06357-0","type":"journal-article","created":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T14:02:52Z","timestamp":1634824972000},"page":"322-329","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Gastroschisis: A Successful, Prospectively Evaluated Treatment Model in a Middle\u2010Income Country"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9341-8980","authenticated-orcid":false,"given":"Pastor","family":"Escarcega\u2010Fujigaki","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Centro de Alta Especialidad Dr. Rafael Lucio Av Adolfo Ruiz Rortines 2903, col. Unidad Magisterial Xalapa, Veracruz Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo","family":"Hernandez\u2010Peredo\u2010Rezk","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Centro de Alta Especialidad Dr. Rafael Lucio Av Adolfo Ruiz Rortines 2903, col. Unidad Magisterial Xalapa, Veracruz Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi J.","family":"Wright","sequence":"additional","affiliation":[{"name":"King's Centre for Global Health and Health Partnerships, School of Population Health and Environmental Sciences King's College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahtziri","family":"Del Carmen Cardenas\u2010Paniagua","sequence":"additional","affiliation":[{"name":"Department of Medical Pediatrics Centro de Alta Especialidad Dr. Rafael Lucio Xalapa, Veracruz Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haydee","family":"Velez\u2010Blanco","sequence":"additional","affiliation":[{"name":"Department of Neonatology Centro de Alta Especialidad Dr. Rafael Lucio Xalapa, Veracruz Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celine","family":"Gutierrez\u2010Canencia","sequence":"additional","affiliation":[{"name":"Department of Radiology Centro de Alta Especialidad Dr. Rafael Lucio Xalapa, Veracruz Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Saavedra\u2010Velez","sequence":"additional","affiliation":[{"name":"Department of Neonatology Centro de Alta Especialidad Dr. Rafael Lucio Xalapa, Veracruz Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berenice","family":"Venegas\u2010Espinoza","sequence":"additional","affiliation":[{"name":"Department of Gynecology Centro de Alta Especialidad Dr. Rafael Lucio Xalapa, Veracruz Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Luis","family":"Diaz\u2010Luna","sequence":"additional","affiliation":[{"name":"Department of Medical Pediatrics Centro de Alta Especialidad Dr. Rafael Lucio Xalapa, Veracruz Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Castro\u2010Ramirez","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Centro de Alta Especialidad Dr. Rafael Lucio Xalapa, Veracruz Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,10,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2018.08.003"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JPEDSURG.2014.08.001"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102019\u2010030452"},{"key":"e_1_2_9_5_1","unstructured":"International Clearinghouse for Birth Defects Surveillance and Research Annual Report(2012)The international center on birth defects: ICBDSR centre[ISSN: 0743\u20105703]"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","unstructured":"Salinas\u2010TorresVM Salinas\u2010TorresRA 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