Umbilical hernia repair post umbilical cord graft closure of gastroschisis: A cohort study

Taher, Heba; Khalil, Hajar; Ahmed, S. A.; Elezaby, Belal; Magdy, Abdelazez; Abdullateef, Khaled S.

doi:10.1016/j.ijscr.2022.107175

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…The clinical evolution of such patients was characterized by the apparition of malnutrition signs, body weakness and death. Our survival rate was better than some studies in other developing countries [17] [18] [19]. The persistence of residual hernia after reduction has been also described in the literature; but we do not consider it as a major issue; given that plastic surgery can always be performed later [19] [20] [21].…”

Section: Discussionmentioning

confidence: 63%

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Gradual Bedside Reduction of Gastroschisis in a Resource Constrained Setting: Preliminary Results from 32 Cases

Dorcas,

Tobie,

Raymond

et al. 2023

OJPed

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Introduction: Gastroschisis is one of the neonatal pathologies with bad prognosis in developing countries due to a lack of equipment. We aim to report one way of managing this malformation that could be practised everywhere, constituting an alternative approach to surgery in poor areas. Patients and Methods: This observational and descriptive study included newborn babies with gastroschisis who underwent gradual bedside reduction at the Paediatric Surgery Department of the Yaounde Central Hospital. Results: Our cohort was constituted by 32 newborn babies with a mean age of 18.12 hours on admission. The Lefort type 2 was the most frequent in 81.25% of cases. The mean time for oral feeding after complete reduction was 17.4 days and the duration of hospital stay was 24.91 days. Survival rates were at 40.63%, with a residual hernia after healing in 38.46% of cases. Conclusion: Despite the high rate of mortality, gradual reduction of gastroschisis at the bedside seems to be an opportunity for resource constrained areas and can be an alternative solution to surgery.

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Section: Discussionmentioning

confidence: 63%

“…The duration of hospital stay was 29.9 days with extremes of 14 and 49 days. Nineteen (19) patients died, representing a mortality rate of 59.4%. Among the 13 patients who survived, the healing process came with a residual hernia in 5 patients representing 38.5% of cases.…”

Section: Resultsmentioning

confidence: 99%

Gradual Bedside Reduction of Gastroschisis in a Resource Constrained Setting: Preliminary Results from 32 Cases

Dorcas,

Tobie,

Raymond

et al. 2023

OJPed

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“…Furthermore, long-term follow-up has found that adult patients with gastroschisis are dissatisfied with the appearance of abdominal scars, especially missing navels ( 78 ). However, umbilical preserving operations have long since become standard ( 82 ).…”

Section: Discussionmentioning

confidence: 99%

Case Report: foetal gastroschisis with ideal pregnancy outcomes under multidisciplinary treatment management

Liu,

Qian,

et al. 2024

Front. Pediatr.

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BackgroundGastroschisis has increased in recent years, however, complicated gastroschisis is associated with higher mortality, as well as higher health care costs and disease burdens from short- and long-term complications.Case introductionA woman aged 25 years old at 37 + 1 weeks gestation (gravida 2; para 0) was admitted to the hospital because of foetal gastroschisis. Targeted quaternary ultrasound performed at our hospital showed that 34 mm of the abdominal wall was interrupted continuously, an intestinal echo with a range of approximately 88 × 50 mm was seen bulging outwards the local area close to the intestinal wall showed a 34 × 23 m anecho, and the foetus was measuring 2 weeks smaller than expected. After MDT including the maternal-foetal medicine, ultrasound, paediatric surgery, neonatal intensive care unit (NICU), and anaesthesiology departments, caesarean section was performed at 37 + 2 weeks. A baby boy was delivered, the small intestine, large intestine and stomach were seen outside of the abdomen, the abdominal cavity was excluded from the defect on the right side of the umbilical cord, the mesentery was shortened, and the intestinal tube had obvious oedema After paediatric surgical discussion, silo bag placement and delayed closure was performed, the placement process was smooth. One week following silo placement, the abdominal contents had been fully reduced below the fascia following daily partial reductions of the viscera,and the second stage of the operation was performed under general anaesthesia. The newborn was successfully discharged from the hospital 20 days after the operation and was followed up, with good growth, normal milk intake and smooth bowel movements.ConclusionsThe diagnosis and treatment of complicated gastroschisis needs to be carried out under multidisciplinary team treatment. Delivery by cesarean section after 37 weeks is feasible.Immediate postpartum surgery is possible, and the choice of surgical modality is determined by the child's condition, emphasizing that it should be performed without adequate sedation under anaesthesia. A standardized postoperative care pathway appropriate to risk should be developed to optimize nutritional support and antibiotic use, and standardized enteral feeding practices should be sought with long-term follow-up.

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“…However, to achieve this autonomy and broader application of AI, we need to overcome certain challenges, as highlighted in the reviewed articles. Computational power and technology seem to be the most manageable components, while acquiring high-quality data that accurately represent the target population [31][32][33] is challenging. Highquality representative data are important during the entire machine training process.…”

Section: Biggest Challenge: Acceptancementioning

confidence: 99%

The challenges of deep learning in artificial intelligence and autonomous actions in surgery: a literature review

Taher¹,

Grasso²,

Tawfik³

et al. 2022

Art Int Surg

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Aim: Artificial intelligence (AI) is rapidly evolving in healthcare worldwide, especially in surgery. This article reviews important terms used in machine learning and the challenges of deep learning in surgery. Methods: A review of the English literature was carried out focused on the terms “challenges of deep learning” and “surgery” using Medline and PubMed between 2018 and 2022. Results: In total, 54 articles discussed the challenges of deep learning in general. We include 25 articles from various surgical specialties discussing challenges corresponding to their respective specialties. Conclusion: The increased utilization of AI in surgery is faced with a wide variety of technical, ethical, clinical, and business-related challenges. The best way to expedite its expansion in surgery in the safest and most cost-efficient manner is by ensuring that as many surgeons as possible have a clear understanding of basic AI concepts and how they can be applied to the preoperative, intraoperative, postoperative, and long-term follow-up phases of the surgical patient care.

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Umbilical hernia repair post umbilical cord graft closure of gastroschisis: A cohort study

Cited by 4 publications

References 15 publications

Gradual Bedside Reduction of Gastroschisis in a Resource Constrained Setting: Preliminary Results from 32 Cases

Gradual Bedside Reduction of Gastroschisis in a Resource Constrained Setting: Preliminary Results from 32 Cases

Case Report: foetal gastroschisis with ideal pregnancy outcomes under multidisciplinary treatment management

The challenges of deep learning in artificial intelligence and autonomous actions in surgery: a literature review

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