{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:27:28Z","timestamp":1786739248256,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"\n A\n BSTRACT<\/jats:sc>\n <\/jats:title>\n \n Introduction:<\/jats:title>\n This study was undertaken to explore if abdominal anthropometric measurements and pressure parameters measured before closure can predict the choice of surgical procedure in neonates with gastroschisis.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n Twenty-two neonates presenting to our tertiary center with gastroschisis over 18 months were included. Abdominal anthropometric measurements such as defect circumference (DC), abdominal circumference (AC), abdominal height (H), anteroposterior diameter (APD), and abdominal volume (AV) were measured soon after induction and again before final closure. Simultaneously, peak inspiratory pressure (PIP) and intravesical pressure (IVP) were measured. A protocol of pressure increase of >20% from the baseline for Silo was followed. The data were analyzed segregating the subjects into two those requiring Silo (\n n<\/jats:italic>\n = 16) and not requiring Silo (\n n<\/jats:italic>\n = 6).\n <\/jats:p>\n <\/jats:sec>\n \n Observation and Results:<\/jats:title>\n \n Non-Silo group did not differ from the Silo group for DC, AC, DC:AC ratio, Height, APD, and AV. Significant differences were noted between non-Silo and Silo groups in PIP (16 \u00b1 1.9 vs. 12.88 \u00b1 2.66) and IVP (1.83 \u00b1 2.64 vs. 1.20 \u00b1 2.08) preoperatively and pre-closure. DC:AC cut-off for predicting Silo was \u22650.31, with 73% sensitivity, and 50% specificity. DC:AC correlated positively with preoperative abdominal height, pre-closure AV, and abdominal height (\n P<\/jats:italic>\n = 0.005,\n P<\/jats:italic>\n = 0.008, and\n P<\/jats:italic>\n = 0.007, respectively).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Silo group had unfavorable abdominal anthropometric parameters as compared to non-Silo. DC:AC ratio which can be computed in a nursery setting and can be a promising variable to predict the type of closure for neonates with gastroschisis as it correlated with AV. A larger study is required to substantiate these conclusions.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_154_24","type":"journal-article","created":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T07:01:49Z","timestamp":1740985309000},"page":"170-176","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ratio between Abdominal Defect Size and Abdominal Circumference Measured Preoperatively May Predict Type of Closure in Neonates with Gastroschisis"],"prefix":"10.4103","volume":"30","author":[{"given":"Rajib","family":"Bora","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simmi K.","family":"Ratan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anju Romina","family":"Bhalotra","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujoy","family":"Neogi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prafull","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Saxsena","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"R1-20250304","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1097\/01.XPS.0000511425.39279.13","article-title":"The value of intra-abdominal pressure monitoring through transvesical route in the choice and outcome of management of congenital abdominal wall defects","volume":"13","author":"Elsaied","year":"2017","journal-title":"Ann Pediatr Surg"},{"key":"R2-20250304","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.3109\/14767058.2011.640366","article-title":"Monitoring intravesical pressure during gastroschisis closure. 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A prospective comparative study","volume":"18","author":"Al-Abassi","year":"2018","journal-title":"BMC Anesthesiol"},{"key":"R4-20250304","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1002\/pd.5546","article-title":"The validity of the viscero-abdominal disproportion ratio for type of surgical closure in all fetuses with an omphalocele","volume":"39","author":"Peters","year":"2019","journal-title":"Prenat Diagn"},{"key":"R5-20250304","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1016\/j.jpedsurg.2020.04.011","article-title":"Gastroschisis in the neonatal period:A prospective case-series in a Brazilian referral center","volume":"55","author":"Martins","year":"2020","journal-title":"J Pediatr Surg"},{"key":"R6-20250304","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1007\/s10029-020-02330-3","article-title":"Application of 3D reconstruction through CT to measure the abdominal cavity volume in the treatment of external abdominal hernia","volume":"25","author":"Gong","year":"2021","journal-title":"Hernia"},{"key":"R7-20250304","first-page":"47","article-title":"Neonatal anthropometry:Measurement of the abdominal circumference in newborns","volume":"13","author":"Meldere","year":"2014","journal-title":"Latviensis Surgical Record"},{"key":"R8-20250304","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1002\/pd.2153","article-title":"Prevalence, prenatal diagnosis and survival of gastroschisis","volume":"28","author":"Fillingham","year":"2008","journal-title":"Prenat Diagn"},{"key":"R9-20250304","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.jpedsurg.2004.11.026","article-title":"Increasing prevalence of gastroschisis in Utah","volume":"40","author":"Hougland","year":"2005","journal-title":"J Pediatr Surg"},{"key":"R10-20250304","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1038\/s41598-020-79599-y","article-title":"Investigation of a connection between abdominal wall defects and severity of the herniation in fetuses with gastroschisis and omphalocele","volume":"11","author":"Logsdon","year":"2021","journal-title":"Sci Rep"},{"key":"R11-20250304","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.jpedsurg.2015.10.010","article-title":"Can omphalocele ratio predict postnatal outcomes?","volume":"51","author":"Fawley","year":"2016","journal-title":"J Pediatr Surg"},{"key":"R12-20250304","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1002\/pd.5546","article-title":"The validity of the viscero-abdominal disproportion ratio for type of surgical closure in all fetuses with an omphalocele","volume":"39","author":"Peters","year":"2019","journal-title":"Prenat Diagn"},{"key":"R13-20250304","doi-asserted-by":"crossref","first-page":"284.e1","DOI":"10.1016\/j.ajog.2011.06.052","article-title":"Fetal omphalocele ratios predict outcomes in prenatally diagnosed omphalocele","volume":"205","author":"Montero","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"R14-20250304","first-page":"302","article-title":"Gastroschisis:A state-of-the-art review","volume":"7","author":"Bhat","year":"2020","journal-title":"Children (Basel)"},{"key":"R15-20250304","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/j.jpedsurg.2005.01.043","article-title":"Gastroschisis revisited: Role of intraoperative measurement of abdominal pressure","volume":"40","author":"Olesevich","year":"2005","journal-title":"J Pediatr Surg"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_154_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:27:11Z","timestamp":1786735631000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_154_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_154_24","relation":{},"ISSN":["0971-9261","1998-3891"],"issn-type":[{"value":"0971-9261","type":"print"},{"value":"1998-3891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"2024-07-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}