{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:05Z","timestamp":1782956645073,"version":"3.54.5"},"reference-count":8,"publisher":null,"issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"\n Background:<\/jats:title>\n Gastroschisis denotes a congenital or sporadic malformation of the anterior abdominal wall, which is rarely associated with other anomalies. The mortality in African countries is still high almost 100%.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n The aim was to determine the feasibility and safety of bedside reduction of gastroschisis and factors affecting the outcome in low-income setting.<\/jats:p>\n <\/jats:sec>\n \n Methodology:<\/jats:title>\n This was a retrospective, descriptive and analytic study over a period of 6 years conducted in the Pediatric Surgery Service of the Yaound\u00e9 Gyneco-Obstetric and Pediatric Hospital. Only neonates with gastroschisis seen within 6 h of life without bowel necrosis and in whom bedside reduction was attempted in the neonatology unit under sedation (with 0.5 mg\/kg of diazepam intra-rectally and 0.5\u20131 mg of atropine intravenously) were included in this study. Ethical clearance was obtained for the Ethical Committee of the Yaound\u00e9 Gyneco-Obstetric and Pediatric Hospital and a signed consent form was required from the parents of the children prior to the procedure.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Twelve neonates with a mean age of 16.8 h (0 and 24 h) and mean birth weight of 2245 g (1860\u20133600 g) were enrolled. The mean time to presentation at hospital was 3.5 h (2\u20139 h). Bedside closure was successful in 10 patients. Two patients underwent primary closure in the theatre after failure of bedside reduction due to the volume of contents of gastroschisis. Mortality rate in our study was 33.3% and the morbidity was dominated by compartment syndrome and malnutrition.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Bedside reduction of gastroschisis under sedation in Yaound\u00e9 seems to be way to reduce the mortality.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ajps.ajps_2_17","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T08:38:19Z","timestamp":1657874299000},"page":"229-232","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Bedside Reduction of Gastroschisis: A Preliminary Experience in Yaounde-Cameroon"],"prefix":"10.67481","volume":"20","author":[{"given":"Faustin Felicien Mouafo","family":"Tambo","sequence":"first","affiliation":[{"name":"Pediatric Surgery Department, Yaound\u00e9 Gyneco Obstetric and Pediatric Hospital, Yaound\u00e9, Cameroon"},{"name":"Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 I, Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaelle Therese","family":"Badjang","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Yaound\u00e9 Gyneco Obstetric and Pediatric Hospital, Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gacelle Fossi","family":"Kamga","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Yaound\u00e9 Gyneco Obstetric and Pediatric Hospital, Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salihou Aminou","family":"Sadjo","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Yaound\u00e9 Gyneco Obstetric and Pediatric Hospital, Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene Nadine Kouna","family":"Tsala","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Yaound\u00e9 Gyneco Obstetric and Pediatric Hospital, Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gervais Andze","family":"Ondobo","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Yaound\u00e9 Gyneco Obstetric and Pediatric Hospital, Yaound\u00e9, Cameroon"},{"name":"Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 I, Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice Aur\u00e9lien","family":"Sosso","sequence":"additional","affiliation":[{"name":"Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 I, Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"published-online":{"date-parts":[[2023,7,10]]},"reference":[{"key":"R1-20240829","first-page":"837","article-title":"A new method for the staged repair of large omphaloceles","volume":"125","author":"Schuster","year":"1967","journal-title":"Surg Gynecol Obstet"},{"key":"R2-20240829","doi-asserted-by":"crossref","first-page":"159","DOI":"10.4103\/0189-6725.86053","article-title":"Challenges and outcomes ofmanagement of anterior abdominal wall defects in a Nigerian tertiary hospital","volume":"8","author":"Abdur-Rahman","year":"2011","journal-title":"Afr J Paediatr Surg"},{"key":"R3-20240829","doi-asserted-by":"crossref","first-page":"68","DOI":"10.32677\/IJCH.2016.v03.i01.015","article-title":"Bedside reduction of gastroschisis:A feasible option","volume":"3","author":"Deepak","year":"2016","journal-title":"Indian J Child Health"},{"key":"R4-20240829","doi-asserted-by":"crossref","first-page":"1338","DOI":"10.1016\/S0022-3468(98)90002-1","article-title":"Elective delayed reduction and no anesthesia:Minimal intervention management'for gastroschisis","volume":"33","author":"Bianchi","year":"1998","journal-title":"J Pediatr Surg"},{"key":"R5-20240829","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/j.jped.2015.07.009","article-title":"Nutritional management and post-operative prognosis of newborns submitted to primary surgical repair of gastroschisis","volume":"92","author":"da Silva Alves","year":"2016","journal-title":"J Pediatr (Rio J)"},{"key":"R6-20240829","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/0022-3468(95)90601-0","article-title":"Is early fascial closure necessary for omphalocele and gastroschisis?","volume":"30","author":"Krasna","year":"1995","journal-title":"J Pediatr Surg"},{"key":"R7-20240829","first-page":"76","article-title":"Treatment of cong\u00e9nital abdominal wall defect","volume":"11","author":"Clausner","year":"1996","journal-title":"A 25 year review of 132 patients. Pediatr Surg Int"},{"key":"R8-20240829","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/0189-6725.150924","article-title":"Epidemiology, management and outcome of gastroschisis in Sub-Saharan Africa:Results of an international survey","volume":"12","author":"Wright","year":"2015","journal-title":"Afr J Paediatr Surg"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.AJPS_2_17","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:21Z","timestamp":1782953361000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.AJPS_2_17"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ajps.ajps_2_17","relation":{},"ISSN":["0189-6725","0974-5998"],"issn-type":[{"value":"0189-6725","type":"print"},{"value":"0974-5998","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2017-08-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}