How we find gastroschisis. There are so many different options ranging from primary. Gastroschisis means that a fetus has an opening in the belly that allows the intestines to extend outside their body. V1I0. loaded silo for gastroschisis: impact on practice patterns and. The equipment with a large 10” inch cross auger, 17” inch main auger along with the 50-degree angle of the main auger for more reach an height. Gastroschisis. 9%, 14/23, 1996–2003, p = 0. Sterile Silicone Sheeting: Reinforced. Placing a spring-loaded silo bag as a bedside procedure without anesthesia on newborns with severe gastroschisis whose viscera cannot be reduced primarily has increased the survival rate (94. The capacity of the abdominal cavity is gradually increased using gravity and by shrinking the bag. . The silo bag protected the herniated contents for 24 days prior to surgical intervention. DOI link, PMid:10798139 2 Owen A, Marven S, Bell J. Keywords: Gastroschisis, limited resources, medical equipment, silo bag Address for correspondence: Dr. The spectrum ranges from immediate operative closure to elective delayed midgut reduction without anesthesia 8 to delayed repair with a preformed silo. Surgeons hang a “silo” of plastic material above the baby’s bed and attach it to the baby’s belly wall. Bedside insertion of preformed silos (PFS) and delayed closure has become more widespread, although its benefits remain unclear. With this CE mark, Bentec will be able to offer outside the U. 223. This completed the procedure. It was soaked in cetrimide for 10 minutes to dissolve the lubricant and rinsed with normal saline. Neonates with gastroschisis are typically placed in a plastic bag or wrap. In this study, Dr. The saline bag is cut. Application of silo is done under sedation. Final result after fascial closure. In the absence of standard silos we decided to use latex surgical gloves as a silo bag. There were 12 patients who fell into the urobag group, 6 patients diagnosed as having gastroschisis and ruptured omphalocele each. Learn to separate truth from a myriad of outdated misinformation out there. Notify PIPER (1300 137 650) when the baby is born (do not wait until stabilisation is. If the gastroschisis is too large, a silo is placed. Objective To describe one year outcomes for a national cohort of infants with gastroschisis. Gastroschisis is characterised by the herniation of bowel and other abdominal contents through an abdominal wall defect, just to the right of the umbilicus. It can also be seen when the baby is born. Indications and Benefits. 37 Bacteremia 18 (40) 16. If so, the surgeon usually arranges the intestines in a bag called a silo to:. The authors recently began using routine insertion of a SILASTIC® (Dow Corning, Midland, MI) spring-loaded silo (SLS), followed by elective closure. ukGastroschisis Silo bag Surgical latex gloves ABSTRACT Gas troschi sis is a con gen i tal ab dom i nal wall de fect with in ci dence of 1 in 4000 live births. Silo medicina pre-formed I icon e sil os @medicina Silo Silo An innovative surgical solution for infants with Gastroschisis medicina p re-formed s ilicone s mos medicna preomed silicone silos Medicina Silos are pre-formed silicone bags indicated for use in infants with gastroschisis. The herniated bowel at the gastroschisis site was reduced with the aid of the silo by 96 hours and the fascia then closed primarily. Placing a spring-loaded silo bag as a bedside procedure without anesthesia on newborns with severe gastroschisis whose viscera cannot be reduced primarily has increased the survival rate (94. 7%, 42. 5 Sutureless elastic ring silo for the gastroschisis 749 October 2010 If this was not possible due to concerns aboutA total of 394 neonates with gastroschisis were identified, of which 315 (80%) were classified as simple and 79 (20%) were classified as complex. This means the baby weighs less than we would expect for the gestational age. Gastroschisis is a relatively uncommon condition that occurs in approximately 1 in 5,000 live births. Jensen AR, Waldhausen JH, Kim SS. What's a Gastroschisis Silo? Gastroschisis is when a baby is born with the intestines sticking out through a hole in the belly wall near the umbilical cord. 15. Spring-loaded (pre-formed) silos are ready-made and obviate the need for suturing to the abdominal wall [20, 55]. Despite advances in the surgical closure of gastroschisis, consensus is lacking as to which method results in the best patient outcomes. J Pediatr Surg. 1 a–c). Most often, the infant's abdominal cavity is too small for the intestine to fit back in. 2%) underwent primary closure before 24 hours of life. Between 1993 and 1997, 38 children presented with gastro-schisis. The significant fluid balance changes and heat loss from exposed intestines in gastroschisis require emergency surgical intervention to establish. 0001) and shorter time to full feeds (p=0. Both omphalocele and gastroschisis are often first diagnosed through prenatal sonography . Division of Pediatric Surgery, Loma Linda University Children's Hospital, CA 92354, USA. The mortality has decreased over the years but morbidity still remains high. Therefore, in this article, we present a method for creating a preformed silo bag by utilising readily available disposable equipment in secondary or tertiary hospitals. 1%, 16/17, 2004-2008) of infants with severe gastroschisis in comparison to our previous experience (60. Since 1995 a spring-loaded silo has been made commercially available that is commonly used [39,40,41] (Figure 1b). 1 It can be diagnosed by prenatal ultrasound or upon birth through physical examination. Participants 301 infants. 0 cm with their volume ranging from 140 to 1600 mL. These commercially produced silos have an inner diameter between 3. A premade silo is available, but the cost for this device is prohibitive for many parts of the world. 2), urine bag (4 patients), and latex gloves (9 patients) giving a total of 16 patients managed with improvised surgical silos (Silo group). About 1,800 babies born in the United States are born with gastroschisis. The hole can be small or large and sometimes other organs, such as the stomach and liver, can be found outside of the baby’s body as well. Babies of mothers under the age of 20 are at an increased risk. vn compilation. Clinical presentation, embryology, incidence, associated anomalies, and stabilization measures prior to transport are described. with the intestines packed in a plastic bag, brought by the attendantsAntenatal diagnosis of gastroschisis may facilitate a planned delivery in a specialized unit (tertiary care center) with parental counseling as well as surgical planning. Here we are reporting a case of successful reduction of herniated viscera in a. Most often, the infant's abdominal cavity is too small for the intestine to fit back in. Ships Within 24 Hours. Both omphalocele and gastroschisis are often first diagnosed through prenatal sonography [7]. Currently, tertiary hospitals in low-income countries experience great difficulty in purchasing these bags. o Secure silo to overhead warmer with trach string ties to keep silo contents completely perpendicular to infant abdomen. Silos are indicated for the protection of the exposed bowel in infants suitable for a bedside staged closure or as temporary protection before a traditional theatre closure. 4) may prevent important complications and is determined to be a better option until stabilization, at which time surgical or sutureless closure is possible without compromise [5, 7]. SB03, SB04, SB05, SB06, SB35 and SB45 silo bags for the treatment of gastroschisis Please complete this form and return it to: Michelle Prescott, Quality Assurance Administrator FAX: 01204 697755 Alternatively, this can be sent to us by EMAIL: michelle@medicina. Mean maternal age at delivery was 23 years (range = 16-26 years). SB06. Table 2. management outcome of gastroschisis using our improvised silo, and performing an extended right hemicolectomy. Since 1995 pediatric surgeons have had the option of using a spring-loaded silo (SLS) to cover and stage the closure of gastroschisis in infants. Unfortunately, that's an outdated figure. Infant demographics are outlined in TABLE 1. The female condom as a temporary silo: a simple and inexpensive tool in the initial management of the newborn with gastroschisis. Some of the studies intervened on the perioperative care and resuscitation while using local modification of silo bags. Thirty four neonates with gastroschisis were included, 24 (70. We hypothesized that patients undergoing SP for ≤5 days would have largely equivalent outcomes compared to IC patients. Results: One hundred fifty infants were included, and 139 (92. Over the course of a few days, the sack is made smaller and smaller, pushing the intestines back into the abdomen. 63. Gastroschisis is a congenital defect of the abdominal wall involving evisceration of abdominal contents. 5 ) which require suturing of edge of ba g to fascia under. PMID: 26290810; PMCID: PMC4518187. mean birth weight was 2. Sell Unit EACH. The pri mary goal ofIn 2005, in Japan they used the Alexis wound retractor (SHA), as a tool for protection and reduction of intestinal loops in newborns with gastroschisis; expe. Case 1A 37-week neonate with gastroschisis and jejunal atresia underwent silo formation after failed primary. Compress the ring and place it into the abdomen, ensuring no contents are trapped between the ring and the inside of the abdominal wall. This allows gravity to help the intestine to slip back into the abdomen. 8days± 10. 026, Chi. Arch. Medicina Silo Bags are pre-formed silicone bags indicated for use in infants with gastroschisis. Since 1995 a spring-loaded silo has been made commercially available that is commonly used [39,40,41] (Figure 1 b). Background Gastroschisis mortality in sub-Saharan Africa (SSA) remains high at 59–100%. Rady Children's Hospital-San Diego 3020 Children's Way, San Diego, CA 92123 Main Phone: 858-576-1700 Customer Service & Referrals: 800-788-9029 Wait TimesFeb 17, 2011. Multi-Language Interpreter Services. Eviscerated organs are reduced by gravity and with additional manual pressure and the silo volume is gradually reduced over a period of typically 5–7 days. Results 150 babies with gastroschisis were reviewed: 109 (77%) with a primary repair, 33 (23%) with a spring-loaded silo repair. Waldhausen, JHT. Gastroschisis can be detected by a routine prenatal ultrasound during a mother’s pregnancy, usually around 18-20 weeks gestation. Discussion. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed. ; Covering – there is no covering membrane, and the organs are exposed (at times these can covered by fibrous material due to in utero exposure to fluids). We asked for a #10 silo, in which we placed the intestine and placed it underneath the fascia. A recent large, multicenter retrospective observational study involving 866 neonates with gastroschisis compared infants who underwent immediate closure with. Most cases of fetal gastroschisis involve the intestine and other. The role of preformed silos in the management of infants with gastroschisis: a systematic review and meta-analysis Pediatr Surg Int. First feeds on average began on day of life (DOL) 17, and full feeds on DOL 25. J Pediatr Surg. TBA. • The risk factors are maternal young age and smoking. Medical Silo Bag/ Infant Stoma Care Bag for Gastroschisis Date Posted: 2016-09-01 16:37 From. *Prices are pre-tax. Bowel loops were placed inside a surgical latex glove size 8 and the. A sutured silo had traditionally been used until 1995 when the use of a spring-loaded silo was reported. 2008;21:648-51, doi: 10. 4 ( median 14. Gastroschisis silo bag A sterile, synthetic polymer bag intended to contain and isolate the protruding intestine of a neonate with. The hands are left outside of the bag and then the string is pulled gently (Figure (Figure1 1 ). Despite advances in the surgical closure of gastroschisis, consensus is lacking as to which method results in the best patient outcomes. 8%) were staged. S. SSP Silo Bags provide a secure, closed environment for exposed viscera during the staged closure of congenital ventral wall. Silos are indicated for the protection of theSilo bags are expensive, and different sizes are needed depending on the gastroschisis size. 2, but reduction of all the viscera into the abdominal cavity was not possible Fig. Approximately 16,000 babies are born with gastroschisis across #subsaharanafrica each year with a. Fortunately, treatment of a left-sided gastroschisis is identical to that of the right-sided form [2]. Disposable Silo Bag for Gastroschisis, Find Details about Surgical Instrument, Medical Device from Disposable Silo Bag for Gastroschisis - Microcure (Suzhou) Medical Technology Co. Methods: A retrospective review was carried out of all cases of gastroschisis managed with PFS in 4 UK neonatal surgical units for a 6-year period. can anybody help. From October 2014, this cohort has been managed with an improvised silo placed in SCBU under sedation with IV-diazepam (0. The preformed silo was introduced in the 1990s and became rapidly accepted, consisting of a spring-loaded silastic covered ring that was inserted into the abdominal cavity beneath the fascia with a transparent. Gastroschisis and omphalocele. 73 should only be used for claims with a date of service on or before September 30, 2015. Gastroschisis affects around 1 in 3,000 babies. A gastroschisis is a birth defect in which an opening in your baby's abdominal wall allows the stomach or intestines to protrude outside of the body and float in the amniotic fluid. Closure type, ventilator days, days to. Gastroschisis: putting the bowel back safely. Gastroschisis is a ventral abdominal wall congenital defect with bowel herniation outside the abdominal cavity. There were no significant differences in mortality, sepsis, readmission, or days to full enteral feeds between IC patients and. If so, the surgeon usually arranges the intestines in a bag called a silo to:. 1. These contents are not covered by any overlaying sac and not protected by any peritoneum. S. This article provides an overview of selected neonatal surgical emergencies, including congenital diaphragmatic hernia, meningomyelocele, omphalocele, and gastroschisis. Baby with gastroschisis showing intestine developed outside the body. S. A surgeon will put the bowel back into the abdomen and close the defect, if possible. Musemeche, C. Surgery will relocate your baby's organs after birth. 1080/14767050802178003. Gastroschisis is a birth defect that develops in a baby while a woman is pregnant. 5-cm Silicone Silo Bag. He was intubated at the NICU 6 hours later due to respiratory distress and extubated 24 hours. 026, Chi. The average pregnancy with gastroschisis delivers between 35 and 38 weeks. H. Silo bags are expensive, and different sizes are needed depending on the gastroschisis size. List Price $925. A silo is a “bowel bag” that attaches to a bar that suspends above the baby so that the exposed organ can slowly enter into the body via gravity. 7 This silo enables placement of the ring inside the abdominal cavity through the open gastroschisis defect, while the bowel is placed inside the bag. REVISED: 19 November 2021. ; Kim, S. Placing a spring-loaded silo bag as a bedside procedure without anesthesia on newborns with severe gastroschisis whose viscera cannot be reduced primarily has increased the survival rate (94. SILO Bags provide a closed environment for the containment of the exposed intestine and reduce the leakage of serous exudates and. A cheaper and easily available urobag has been tried for staged reduction with more than satisfactory outcome in cases of gastroschisis in preterm and low birth weight infants. Instead, a "silo" or sterile bag will be used for the intestines. In one case, rupture of the intestines during delivery was. Part Number Bentec Medical GR74089-01. The development of a transparent preformed silo, with a coil spring-reinforced, deformable ring at the base (Fig. Hawkins RB, Raymond SL, St Peter SD, Downard CD, Qureshi FG, Renaud E, Danielson PD, Islam S. D C Moores. 13). Babies with gastroschisis often undergo surgery to close the abdominal wall defect the day they are born. Delivery was by caesarean section in 93% of the gastroschisis group and 65%. Segura, Hilary Alpert, Daniel H. Gastroschisis and omphalocele represent two distinct congenital abnormalities of the anterior abdominal wall. Spring-Loaded Silicone Silo Bag - 10cm Opening Diameter. Part Number Bentec Medical GR74089-06. Primary closure (PC) is reduction and fascial closure; silo closure (SC) places viscera in a preformed-silo and reduces the contents overtime. Fetal gastroschisis is a congenital defect in a baby's abdominal wall that allows the infant's intestines to protrude through to the outside. Prolonged use of the silo, however, can lead to pressure necrosis around the silo ring. In conjunction with the Neonatology Department at Loma Linda University Children's. 2020. 2003;69(12):1083-1086. Multiple reports exist comparing different techniques of gastroschisis closure. In LIC, mortality was reported as >75% by 61% delegates and 50-75% by 33%, compared to <25% by 100% of HIC delegates ( P < 0. i know this isnt right but i need documentation stating that it is not included and they have already denied it with the OP report. 50. MD. Results: Thirty-nine cases were analyzed. Gastroschisis is a type of abdominal wall defect. 36557/36558 CVC-tunneled, port <5/>5. With SILO Bags, HMC Group approaches the world of congenital gastrointestinal anomalies, offering a range of. coverage with an alternative silo bag with gradual reduction was done in 9 cases (25. Arch Surg 144:516–519. Treatment for gastroschisis and its morbidity and mortality rates vary widely both on a local and global level . 10, 21 Gastroschisis defects commonly have a diameter of 1. 9 mm, which yields a calculated volume of 236 mL of the. Bentec Medical GR74089-06 - BAG, SILO VENTRAL WALL DEFECT, 3CM, EACH. Gastroschisis is a birth defect in which an infant's intestines stick out (protrude) through a hole in the abdominal wall. Treatment for gastroschisis and its morbidity and mortality rates vary widely both on a local and global level . [ 29] Sterile. Use minimal tension in securement. 3% [ 104 ]. , Ltd. The defect allows the baby’s. The care team gradually tightens the silo as the intestines return to normal size. Methods: Neonates with gastroschisis were enrolled at Songklanagarind Hospital. The two primary methods are immediate closure (IC) or silo placement (SP). Source publication Vacuum Assisted Closure (VAC) and Platelet-Rich Plasma (PRP): A Successful Combination in a. 4 No. The post- Gastroschisis happens in as many as 1 out of 2,000 births. Pediatr Surg Int monitoring in newborns with gastroschisis, omphalocle, and diaphrag- 15:442-444, 1999 matic hernia. Gastroschisis, formally thought to be a variant of omphalocele, was first described in the 1940s. 54847/cp. We present the case of a newborn with gastroschisis that required the use. Ayman Elhosny, Department of Paediatric Surgery, Tygerberg Children’s Hospital,Since 1997, clinicians around the world have used the Bentec Ventral Wall Defect Silo Bags for staged reductions of congenital ventral wall defects (gastroschisis, CDH or omphalocele) in their neonatal patients. Complex gastroschisis was diagnosed in. Frontal and B. The saline bag is cut. 1 A common treatment modality in high-income countries (HICs) is to place the exposed bowel into a preformed silo (PFS), and then gradually reduce the organs into the abdominal cavity. In one-third to one-half of babies with gastroschisis, the belly is not big enough to put all the bowels back right away. silo (SLS), transparent Silastic silo, body bag, or. Males are predominantly more affected than females (). The SP group was further stratified based on time to closure (≤ 5 days, 6–10 days, > 10 days). Earlier closure of gastroschisis correlated with early initiation of feeds (p=0. Your baby may have a silo placed over the intestines. / FOB Price:Get Latest Price. 9. 26. rate of primary facial closure (although in a delayed fash- 6. Silo bags are synthetic, flexible silicone bags used to cover and protect the bowel of neonates born with gastroschisis. The organs usually move inside the body before the baby is born. The organs usually move inside the body before the baby is born. Silo Bag 60mm diameter. The opening is most often on the right side of the baby’s belly. What Is Gastroschisis? Gastroschisis is when a baby is born with the intestines sticking out through a hole in the belly wall near the belly button. Silo inaccessibility contributes to this disparity. The cause of gastroschisis is unknown, but young maternal age is the strongest and most consistent risk factor associated with gastroschisis [1]. This technique was described by Fisher et al in 1985. Background Gastroschisis mortality in sub-Saharan Africa (SSA) remains high at 59–100%. Semin. A spring loaded readymade transparent silastic silo is used to cover herniated bowel. A membrane does not cover the bowel exposed in utero and, as a result, may be matted, dilated, and covered with a fibrinous inflammatory rind. (1) Background: The morbidity of gastroschisis is defined by exposure of unprotected intestines to the amniotic fluid leading to inflammatory damage and consecutive intestinal dysmotility, the viscero-abdominal disproportion which results in an abdomen too small to incorporate the herniated and often swollen intestine, and by associated. Sepsis was the commonest complication. Spring stays inside the peritoneal cavity and keeps the silo in place. Gastroschisis is traditionally managed by emergency primary closure, with. The prognosis of infants with gastroschisis is largely dependent on the condition of the bowel at birth. Experts estimate that as many as 75 percent of babies with gastroschisis will be classified as growth restricted. 0001). While the infant is in the womb, the intestines float free in the amniotic fluid (bag. Silo bags are expensive, and different sizes are needed depending on the gastroschisis size. Median silo size was 4 cm, and time of application was 2. It is capable of extracting approximately 150-180 MT of grains per hour from the. One patient out of the 16 patients in the silo group survived giving 6. 01. Both omphalocele and gastroschisis are often first diagnosed through prenatal sonography [7]. SSP also offers a wide-body silo bag with a 5. Mustafa Kabeer is a board-certified pediatric surgeon at CHOC, performing all types of general surgery and specializing in pectus excavatum (sunken chest), lung resection, hernia and robotic surgery. The typical surgical repair and. Kim, Ryan P. Primary closure rates were similar in LIC and HIC at 58% and 54%, respectively; however, the majority of staged closure utilised custom silos in LIC and preformed silos in HIC. With silo use, mortality can drop to 50% in the African setting and 1% in the UK/other high-income. Davis, Bradley J. A 5-cm spring-loaded Silicone Ventral Wall Defect Silo Bag (Bentec Medical Inc. The spring-loaded ring maintains the stability of the silo, and does not require sutures. 10/2018;27(5):304-308. PREOPERATIVE DIAGNOSIS: Gastroschisis with ischemic intestine, silo, planned return to the OR for revision of silo. Ayman Elhosny, Department of Paediatric Surgery, Tygerberg Children’s Hospital,We would like to show you a description here but the site won’t allow us. Keywords: gastroschisis; silo; urobag ARTICLE INFO Received: December 22, 2015 Accepted: February 5, 2016. Early reports advocate for attempts for PC in gastroschisis infants. J. Gradually, the organs are squeezed by hand through the silo into the opening and returned to the body. Since 1995 a spring-loaded silo has been made commercially available that is commonly used. Since we did not have the standard silo bag, we used an IV normal saline bag to make a silo. Product Description. Gastroschisis is a paraumbilical, full-thickness abdominal wall defect associated with protrusion of the bowel through the defect. The primary outcome. 4103/ ajps. Production Capacity: 10000PCS/Month. The disposable equipment required includes a 200- or 500-ml saline or blood bag, 16- or 18-Fr silicone/latex Foley catheter, Opsite® and 2-0 silk suture. Bentec Medical has received the CE certification for its Silo Bag products on April 18, 2021. It can’t be inherited (passed on from parent to child). this will involve placing the bowel in a clear sac called a silo, which is tightened until there is enough space to reduce the bowel completely (Figure 2). 53, 5. Disposable Medical Supply Optical Bladeless Trocar with CE. 66. , Ltd. Definition. Surgeons hang a “silo” of plastic material above the baby’s bed and attach it to the baby’s belly wall. DOI: 10. 7472975. The silo is supported over the baby's belly (see Picture 1). After completing this article, readers should be able to: Babies who have gastroschisis typically are born at 34 to 38 weeks’ gestational age and undergo placement of a silo or primary abdominal closure within the first few hours after birth (Fig. Gastroschisis silo bag A sterile, synthetic polymer bag intended to contain and isolate the protruding intestine of a neonate with. 1016/0022-3468 (95)90014-4. In the past, a silo was created using sterile plastic bags and typically sutured to the abdominal wall. These commercially produced silos have an inner diameter between 3. This condition occurs when an opening forms in the baby’s abdominal wall. US $9-13 / Piece. In more severe cases, your baby will receive a silo, a special silicone sack that is placed over the exposed intestines. In the absence of standard silos, improvised ones were constructed from the amniotic membrane (3 cases), urine bag (4 cases), and latex gloves (9 cases) giving a total of 16 cases managed with silos. Infectious Complications Infectious Complication No. 8. 2009. Overview. 3 N, 30. Silos yielded a diameter of 5. Often, the intestines don't fit in the belly because they're swollen. A separate population-based study of 502 Australian infants with abdominal wall defects (166 omphalocele, 336 gastroschisis) reported similar findings of longer hospital stays and parenteral nutrition as well as higher rates of infection but lower overall mortality in infants with gastroschisis compared to those with omphalocele. Insufficient length or non-viability of the umbilical cord preventing sutureless closure with the umbilical cord. This method can take up to a week. Order: 100 Pieces. 4. So a mesh sack called a silo is stitched around the borders of. List Price Call for Pricing. Jamie. Silo bags are preformed silicone bags that are used for children with gastroschisis (abdominal wall defect). Figure 2- A silo bag. Compress the ring and place it into the abdomen, ensuring no contents are trapped between the ring and the inside of the abdominal wall. Infants have a. et al. Silicone Silo Bag Description Diameter Length Price Order for Doctor: Patient: Surgery Date: Catalog No: Quantity:. Lobo, Anne C. Gastroschisis is when a baby is born with the intestines sticking out through a hole in the belly wall near the umbilical cord. with the intestines packed in a plastic bag, brought by the attendantsBabies with gastroschisis are at an increased risk for being stillborn. 6%, and 83. 4 N, respectively, compared with the seal of the current standard-of-care silo of 41. allow the intestines to slowly move into the belly. 1 N. The Alexis ® wound retractor applied as a Silo bag. Gastroschisis is one of the conditions that has the highest disparity [5, 6]. Silon sheets are. Eviscerated organs are reduced by gravity and with additional manual pressure and the silo volume is gradually reduced over a period of typically 5–7 days. 4%, while patients with complex gastroschisis have a mean LOS of 85 ± 60 days and a mortality rate of 9. Disposable Surgical Instrument Wound Protector Surgical Retractor for Gastroschisis. 002 Corpus ID: 201714237; Immediate Versus Silo Closure for Gastroschisis: Results of a Large Multicenter Study. Gastroschisis with silo in place, Fig 5. 3. Teitelbaum, James D. 10. 2), eliminated the need for suturing and meant that the silo could be placed on an awake baby in the NICU. 05]. #1. Bowel loops were edematous and matted together Fig. Primary fascial closure versus staged closure with. 9%, 1.