Silo formation without suturing in gastroschisis: Use of steridrape® for delayed repair

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.…”

A “Plastic” sutureless abdominal wall closure in gastroschisis

“…Many techniques are described for closure of the abdominal wall defect associated with gastroschisis. [1][2][3][4] Limitations to achieving complete primary closure are increased intraabdominal pressure that may result in compromised gut circulation, ischemia, and intestinal infarction. The monetary cost of caring for gastroschisis patients is high, particularly because of gastrointestinal, respiratory, and operative complications associated with their care.…”

“…Premade SILASTIC (Dow Corning, Midland, MI) silos with spring-loaded rings as well as various techniques for silo construction are used. [1][2][3][4] With the silo in place, the gut is reduced gradually, until the right of abdominal domain is achieved.…”

Gastroschisis reduction using “Applied Alexis”, a wound protector and retractor

“…The ''spring loaded silo'' (SLS) is widely used for gastroschisis reduction overseas and techniques for its use have been modified in detail [1][2][3][4][5]. However, SLS is not currently available in Japan, so we used the ''Applied Alexis (APPLIED MEDICAL RESOURCES CORP, USA) wound protector and retractor (WPAR)'' as an alternative.…”