{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:00:35Z","timestamp":1790668835858,"version":"4.1.0"},"reference-count":11,"publisher":"Akademiai Kiado Zrt.","issue":"39","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,9,27]]},"abstract":"<jats:p>\n                    A gastroschisis az el\u00fcls\u0151 hasfal velesz\u00fcletett fejl\u0151d\u00e9si rendelleness\u00e9ge, amely a\n                    belek, ritk\u00e1bban egy\u00e9b hasi szervek extraabdominalis hernializ\u00e1ci\u00f3j\u00e1val j\u00e1r.\n                    Kifejezett visceroabdominalis t\u00e9rar\u00e1nytalans\u00e1g eset\u00e9n a primer hasfalz\u00e1r\u00e1s nem\n                    minden esetben kivitelezhet\u0151 biztons\u00e1gosan, ez\u00e9rt l\u00e9pcs\u0151zetes hasfalz\u00e1r\u00e1s v\u00e1lhat\n                    sz\u00fcks\u00e9gess\u00e9 sil\u00f3rendszer alkalmaz\u00e1s\u00e1val. Az Alexis wound protector\/retractor\n                    alternat\u00edv sil\u00f3rendszerk\u00e9nt t\u00f6rt\u00e9n\u0151 alkalmaz\u00e1s\u00e1t gastroschisis eset\u00e9n els\u0151k\u00e9nt\n                    <jats:italic>Kusafuka \u00e9s mtsai<\/jats:italic>\n                    ismertett\u00e9k 2005-ben. Egy 38. gestati\u00f3s\n                    h\u00e9tre, praenatalisan diagnosztiz\u00e1lt gastroschisissel \u00e9s intrauterin sorvad\u00e1s\n                    jeleivel sz\u00fcletett, kis sz\u00fclet\u00e9si s\u00faly\u00fa fi\u00fa \u00fajsz\u00fcl\u00f6tt eset\u00e9t ismertetj\u00fck. A\n                    hypoplasi\u00e1s has\u00fcreg \u00e9s az eventer\u00e1l\u00f3dott b\u00e9lkacsok \u00e1llapota miatt primer\n                    hasfalz\u00e1r\u00e1s nem volt kivitelezhet\u0151. A hasfali hi\u00e1ny meghosszabb\u00edt\u00e1s\u00e1t k\u00f6vet\u0151en\n                    XS m\u00e9ret\u0171 Alexis O wound protector\/retractor gy\u0171r\u0171t alkalmaztunk felf\u00fcggesztett\n                    alternat\u00edv sil\u00f3rendszerk\u00e9nt. A hernializ\u00e1l\u00f3dott szervek fokozatos repoz\u00edci\u00f3ja\n                    napi seb\u00e9szeti kontroll \u00e9s rendszeres sil\u00f3sz\u0171k\u00edt\u00e9s mellett t\u00f6rt\u00e9nt. A definit\u00edv\n                    hasfalz\u00e1r\u00e1sra a posztoperat\u00edv 10. napon ker\u00fclt sor, folyamatos intravesicalis \u00e9s\n                    intraabdominalis nyom\u00e1smonitoroz\u00e1ssal, 10\u201311 cmH\n                    <jats:sub>2<\/jats:sub>\n                    O nyom\u00e1s\u00e9rt\u00e9kek\n                    mellett. A posztoperat\u00edv szak esem\u00e9nytelen volt. Tapasztalataink alapj\u00e1n az\n                    Alexis O wound protector\/retractor gy\u0171r\u0171 biztons\u00e1gos, sz\u00f6vetbar\u00e1t \u00e9s\n                    k\u00f6lts\u00e9ghat\u00e9kony alternat\u00edv\u00e1t jelenthet a hagyom\u00e1nyos sil\u00f3rendszerekkel szemben a\n                    gastroschisis l\u00e9pcs\u0151zetes kezel\u00e9s\u00e9ben. Szerkezeti tulajdons\u00e1gai, sz\u00e9les\n                    m\u00e9retv\u00e1laszt\u00e9ka \u00e9s felf\u00fcggeszthet\u0151s\u00e9ge alkalmass\u00e1 teszi \u00fajsz\u00fcl\u00f6ttseb\u00e9szeti \u00e9s\n                    intenz\u00edv ter\u00e1pi\u00e1s alkalmaz\u00e1sra. Eset\u00fcnkben az eszk\u00f6z megfelel\u0151 ideiglenes\n                    hasfali fed\u00e9st biztos\u00edtott, lehet\u0151v\u00e9 tette a hernializ\u00e1l\u00f3dott szervek fokozatos\n                    repoz\u00edci\u00f3j\u00e1t, t\u00e1mogatta az infekci\u00f3kontrollt, valamint hozz\u00e1j\u00e1rult a sikeres\n                    halasztott hasfalz\u00e1r\u00e1shoz. Orv Hetil. 2026; 167(39): 1574\u20131577.\n                  <\/jats:p>","DOI":"10.1556\/650.2026.33648","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:50:57Z","timestamp":1790668257000},"page":"1574-1577","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Alexis O wound protector\/retractor gy\u0171r\u0171 alkalmaz\u00e1sa alternat\u00edv sil\u00f3rendszerk\u00e9nt gastroschisis eset\u00e9n"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6607-5281","authenticated-orcid":true,"given":"Vanda","family":"Moln\u00e1r","sequence":"first","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Velkey L\u00e1szl\u00f3 Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermekseb\u00e9szeti, Traumatol\u00f3giai \u00e9s \u00c9g\u00e9si Oszt\u00e1ly Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Ivancs\u00f3","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Velkey L\u00e1szl\u00f3 Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Korasz\u00fcl\u00f6tt- \u00e9s \u00dajsz\u00fcl\u00f6ttpatol\u00f3giai Oszt\u00e1ly Miskolc Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1kos Levente","family":"Kiss","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Velkey L\u00e1szl\u00f3 Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermekseb\u00e9szeti, Traumatol\u00f3giai \u00e9s \u00c9g\u00e9si Oszt\u00e1ly Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e1nos Gy\u00f6rgy","family":"Papp","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Velkey L\u00e1szl\u00f3 Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Gyermekseb\u00e9szeti, Traumatol\u00f3giai \u00e9s \u00c9g\u00e9si Oszt\u00e1ly Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Kidd JN Jr, Jackson RJ, Smith SD, et al. Evolution of staged versus\n                    primary closure of gastroschisis. Ann Surg. 2003; 237: 759-765.\n                        https:\/\/doi.org\/10.1097\/01.SLA.0000071568.95915.DC","DOI":"10.1097\/01.SLA.0000071568.95915.DC"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Hashish AA, Elhalaby E. Evolution of management of gastroschisis.\n                    Ann Pediatr Surg. 2011; 7: 10-15.\n                        https:\/\/doi.org\/10.1097\/01.XPS.0000393094.25977.48","DOI":"10.1097\/01.XPS.0000393094.25977.48"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Skarsgard ED. Management of gastroschisis. Curr Opin Pediatr. 2016;\n                    28: 363-369.\n                    https:\/\/doi.org\/10.1097\/MOP.0000000000000336","DOI":"10.1097\/MOP.0000000000000336"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Kelleher C, Langer JC. Congenital abdominal wall defects. In:\n                    Holcomb GW III, Murphy JP, Ostlie DJ. (eds.) Ashcraft\u2019s pediatric surgery. 5th\n                    ed. Saunders Elsevier, Philadelphia, PA, 2010; pp. 625-636.\n                        https:\/\/doi.org\/10.1016\/B978-1-4160-6127-4.00048-3","DOI":"10.1016\/B978-1-4160-6127-4.00048-3"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Gomes Ferreira C, Lacreuse I, Geslin D, et al. Staged gastroschisis\n                    closure using Alexis wound retractor: first experiences. Pediatr Surg Int. 2014;\n                    30: 305-311.\n                    https:\/\/doi.org\/10.1007\/s00383-013-3440-3","DOI":"10.1007\/s00383-013-3440-3"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Ogasawara Y, Okazaki T, Kato Y, et al. Spontaneous sutureless\n                    closure of the abdominal wall defect in gastroschisis using a commercial wound\n                    retractor system. Pediatr Surg Int. 2009; 25: 973-976.\n                        https:\/\/doi.org\/10.1007\/s00383-009-2450-7","DOI":"10.1007\/s00383-009-2450-7"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Kusafuka J, Yamataka A, Okazaki T, et al. Gastroschisis reduction\n                    using \u201cApplied Alexis\u201d, a wound protector and retractor. Pediatr Surg Int. 2005;\n                    21: 925-927.\n                    https:\/\/doi.org\/10.1007\/s00383-005-1518-2","DOI":"10.1007\/s00383-005-1518-2"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Tongsin A, Niramis R, Buranakitjaroen V, et al. Staged closure of\n                    gastroschisis using Alexis wound retractor and protector. World J Surg Surg Res.\n                    2018; 1: 1036.\n                    https:\/\/doi.org\/10.25107\/2637-4625.v1-id1036","DOI":"10.25107\/2637-4625.v1-id1036"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Zhang L, Elsolh B, Patel SV, et al. Wound protectors in reducing\n                    surgical site infections in lower gastrointestinal surgery: an updated\n                    meta-analysis. Surg Endosc. 2018; 32: 1111-1122.\n                        https:\/\/doi.org\/10.1007\/s00464-017-6012-0","DOI":"10.1007\/s00464-017-6012-0"},{"key":"R10","unstructured":"Horiuchi T, Nakatsuka S, Tanishima H, et al. A wound\n                    retractor\/protector can prevent infection by keeping tissue moist and preventing\n                    tissue damage at incision sites. Helix Rev Ser Infect Dis. 2007; 3:\n                    17-23"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Salgado-Nesme N, Morales-Cruz M, Navarro-Navarro A, et al.\n                    Usefulness of a circumferential wound retractor in emergency colorectal surgery\n                    as a preventive measure for surgical site infection. Alexis O-Ring\u00ae and\n                    emergency surgery. [Utilidad del separador circunferencial para herida en\n                    cirug\u00eda colorrectal de urgencia como medida preventiva para infecci\u00f3n del sitio\n                    quir\u00fargico. El Alexis O-Ring\u00ae y la cirug\u00eda de urgencia.] Rev Gastroenterol Mex\n                    (Engl Ed). 2020; 85: 399-403. [English, Spanish]\n                        https:\/\/doi.org\/10.1016\/j.rgmx.2019.08.009","DOI":"10.1016\/j.rgmx.2019.08.009"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/167\/39\/article-p1574.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/167\/39\/article-p1574.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/167\/39\/article-p1574.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:51:04Z","timestamp":1790668264000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/167\/39\/article-p1574.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,27]]},"references-count":11,"journal-issue":{"issue":"39"},"URL":"https:\/\/doi.org\/10.1556\/650.2026.33648","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,27]]}}}