GABBY: An<i>ex vivo</i>model for learning and refining the technique of preformed silo application in the management of gastroschisis

Background:The aim was to compare gastroschisis (GS) epidemiology, management and outcome in low-income countries (LIC) in Sub-Saharan Africa (SSA) with middle- (MIC) and high-income countries (HIC).Materials and Methods:A 10-question survey was administered at the 2012 Pan-African Paediatric Surgery Association Congress. Results are presented as median (range); differences were analysed using contingency tests.Results:A total of 82 delegates (28 countries [66 institutions]) were divided into LIC (n = 11), MIC (n = 6) and HIC (n = 11). In LIC, there were fewer surgeons and more patients. LIC reported 22 cases (1-184) GS/institution/year, compared to 12 cases (3-23)/institution/year in MICs and 15 cases (1-100)/institution/year in HICs. Antenatal screening was less readily available in LIC. Access to parenteral nutrition and neonatal intensive care in LIC was 36% and 19%, compared to 100% in HIC. Primary closure rates were similar in LIC and HIC at 58% and 54%, respectively; however, the majority of staged closure utilised custom silos in LIC and preformed silos in HIC. In LIC, mortality was reported as >75% by 61% delegates and 50-75% by 33%, compared to <25% by 100% of HIC delegates (P < 0.0001).Conclusions:Gastroschisis is a problem encountered by surgeons in SSA. Mortality is high and resources in many centres inadequate. We propose the implementation of a combined epidemiological research, service delivery training and resource provision programme to help improve our understanding of GS in SSA whilst attempting to improve outcome.

show abstract

“…We have previously described the use of an inexpensive, easy to construct model for this purpose. [ 28 ]…”

Section: Discussionmentioning

confidence: 99%

Epidemiology, management and outcome of gastroschisis in Sub-Saharan Africa: Results of an international survey

Wright

Zani

Ade-Ajayi

2015

Afr J Paediatr Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…Timely and accurate diagnosis of diarrhea is of paramount importance as it enhances the efficacy of treatments and prevents potential long-term complications in affected animals (Muktar et al, 2009) [39] . Previous [9,19,30,8,17,33,16] .…”

Section: Introductionmentioning

confidence: 99%

Seasonal variations in biochemical parameters of diarrheic cattle calves: Implications for gaushala health management

Dhaka,

Gottam,

Gupta

et al. 2024

Int. J. Adv. Biochem. Res.

View full text Add to dashboard Cite

The primary objective of this investigation was to discern variations in biochemical parameters associated with diarrhea in cattle calves across different seasons, specifically the rainy, autumn, and winter periods. A total of 90 diarrheic cattle calves, with 30 representing each season, were meticulously chosen based on their diarrheic condition. The biochemical profile of the diarrheic calves revealed noteworthy distinctions among the seasons. During the rainy season, levels of ALT, AST, total protein, glucose, magnesium, and phosphorus were markedly higher (p<0.05) compared to the autumn and winter seasons. Conversely, levels of albumin, urea, and creatinine exhibited a significant increase (p<0.05) in the winter season when juxtaposed with those in the autumn season. Notably, cholesterol and calcium levels demonstrated a comparable pattern across all three seasons. The study underscores the intricate interplay between environmental conditions, diarrheal incidents, and the physiological responses of calves in a gaushala. The observed variations in blood serum parameters provide valuable insights for understanding and managing the health of cattle in such settings. These findings emphasize the importance of considering seasonal factors and implementing targeted interventions for effective herd management and health maintenance within a gaushala environment.

show abstract

Evaluation methods and impact of simulation-based training in pediatric surgery: a systematic review

et al. 2019

View full text Add to dashboard Cite

GABBY: Anex vivomodel for learning and refining the technique of preformed silo application in the management of gastroschisis

Abstract: We have developed and evaluated a reproducible, low-cost model of an infant with GS. This ex vivo trainer may be a useful adjunct in the acquisition and refinement of the skills of surgeons who manage GS using a PFS.

Cited by 6 publications

References 24 publications

Epidemiology, management and outcome of gastroschisis in Sub-Saharan Africa: Results of an international survey

Epidemiology, management and outcome of gastroschisis in Sub-Saharan Africa: Results of an international survey

Seasonal variations in biochemical parameters of diarrheic cattle calves: Implications for gaushala health management

Evaluation methods and impact of simulation-based training in pediatric surgery: a systematic review

Contact Info

Product

Resources

About