Silo construction from a sterile adhesive film and polypropylene mesh in the repair of gastroschisis and omphalocele

Abstract

A simple technique of constructing a silo for the treatment of gastroschisis (GS) and omphalocele (OMP) is described. A polypropylene mesh covered on both sides with a sterile transparent adhesive film (incise drape) was used; both these items are freely available in the operating room. The resultant silo is sterile, soft, flexible, sturdy, internally smooth, provides a reasonable barrier, and allows enough visibility of the bowel. This silo was used in the treatment of 25 cases of GS and 13 cases of OMP with acceptable results. Survival was better in patients in whom primary closure could be achieved in both OMP and GS. Silo treatment was associated with higher mortality from septic causes.

Experience of bedside preformed silo staged reduction and closure for gastroschisis

“…Since Schuster [18] in 1967 first described the use of prosthetic materials to temporarily increase the abdominal domain for staged reduction after failed primary closure, a number of other materials and methods including silon, clamps, Steridrapes, hemoderivatve bags, and adhesive mesh have been used [19][20][21][22][23]. Currently, most silos are fashioned from sheets of SILASTICR (Down Corning, Midland, Mich) or Gortex (W.L.…”

Recreational Drug Use: A Major Risk Factor for Gastroschisis?

“…Figures 1.4 and 1.5 (Lee et al 1997); (Minkes et al 2000); (Schlatter, 2003), (Sandler et al 2004), (Bhatnagar et al 2001)). The silo is then gradually reduced until reduction is achieved and final abdominal closure is carried out in theatre.…”

Use of Sterile Adhesive Film and Polypropylene Mesh in the Construction of a Temporary Silo in the Treatment of Omphalocele

“…The use of a similar technique has been recently reported in 25 newborns. 2 An expanded PTFE patch can be used as an abdominal wall substitute. It cannot be rolled or tied as a silo to compress the contents into the abdominal cavity, but it does provide a durable coat over the viscera.…”

“…In emergency cases, the use of such a silo depends on the availability of a prosthetic material, the medical facilities, and the experience of the surgeon. [2][3][4][5] Reprint requests to: H. Özbey Received: November 15, 2002 / Accepted: July 8, 2003 Presented at the 43rd Annual Meeting of the Austrian Society of Surgery, May 30-June 1, 2002, Vienna, Austria silo had to be replaced, owing to leakage through the suture lines. A direct closure of the defect (fascia) was still not possible after 30 days.…”