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Related Experiment Videos

Gastroschisis: a simple technique for staged silo closure

J D Fischer1, K Chun, D C Moores

  • 1Division of Pediatric Surgery, Loma Linda University Children's Hospital, CA 92354, USA.

Journal of Pediatric Surgery
|August 1, 1995
PubMed
Summary

A new silo closure protocol for gastroschisis in infants is simple and effective. This method in the neonatal intensive care unit reduces complications and improves outcomes, becoming the preferred treatment.

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Area of Science:

  • Neonatal surgery
  • Pediatric surgery
  • Congenital anomalies

Background:

  • Gastroschisis presents significant management challenges in neonates.
  • Traditional primary or staged silo closure methods carry inherent risks.

Purpose of the Study:

  • To introduce and evaluate a novel silo closure protocol for gastroschisis management.
  • To compare outcomes of the new protocol with historical treatment data.

Main Methods:

  • A SILASTIC silo is placed over exposed viscera in the neonatal intensive care unit without sutures.
  • Gradual bowel reduction occurs over several days with continuous monitoring.
  • Second-stage closure involves a purse-string suture for fascial closure.

Main Results:

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  • The new protocol was used in 10 infants between October 1992 and April 1994.
  • Compared to historical controls, this method demonstrated improved outcomes.
  • Key outcome measures included reduced time to closure, ventilation, and discharge.

Conclusions:

  • Neonatal intensive care unit silo closure is a simple, rapid, and effective gastroschisis treatment.
  • This technique minimizes operative procedures and improves bowel accommodation.
  • It has become the preferred management strategy for gastroschisis at this institution.