Primary closure of gastroschisis aided by ileostomy: A new management approach for low resource settings

Role of Surgery in the Outcome Difference of Gastroschisis between High-income and Lowmiddle- income Countries: A Review

“…Okoro PE et al achieved >67% survival rate in African resourceconstrained centers with primary closure after extended right hemicolectomy. 21 Negash et al 22 described a successful outcome of primary closure aided by ileocecal resection and ileostomy in two patients.…”

Constrained evidence-based practice

“…A few authors from LICs who had almost 100% mortality in patients with gastroschisis, recommended resection of the bowel that could not be reduced, and survival was documented with this strategy. [7] Although in our set-up we have less than 10% survival with a blood bag silo, we are still reluctant to try bowel excision. We wonder how we could improve the outcomes of these patients when the EBP is constrained.…”