With SILO Bags, HMC Group approaches the world of congenital gastrointestinal anomalies, offering a range of silicone bags indicated for the protection of the exposed intestine (gastroschisis) in infants. 9%, 14/23, 1996–2003, p =. The truth is, today, it is closer to 1/2500 pregnancies. Holland AJ, Walker K, Badawl N. 4 N, respectively, compared with the seal of the current standard-of-care silo of 41. Standard of care (SOC) silos cost $240, while median monthly incomes in SSA are < $200. o Secure silo to overhead warmer with trach string ties to keep silo contents completely perpendicular to infant abdomen. Insufficient length or non-viability of the umbilical cord preventing sutureless closure with the umbilical cord. jpedsurg. (%) of Patients P Valuea 1998-2003 (n=45) 2004-2007 (n=46) Wound infection 1 (2) 4 (9) . The use of a spring-loaded silo for gastroschisis: impact on practice. Gastroschisis and omphalocele are defects of the abdominal wall that occur in utero, can be detected prenatally using fetal ultrasonography, and result in herniation of abdominal contents. The organs usually move inside the body before the baby is born. 1%, 16/17, 2004–2008) of infants with severe gastroschisis in comparison to our previous experience (60. A recent large, multicenter retrospective observational study involving 866 neonates with gastroschisis compared infants who underwent immediate closure with. The SP group was further stratified based on time to closure (≤ 5 days, 6–10 days, > 10 days). The opening is most often on the right side of the baby’s belly. It is one of a group of birth defects known as abdominal wall defects, which occur very early in gestation and are characterized by an opening in the abdominal wall of the fetus. txt) or read online for free. If needed, a special bag called a silo can be used. This study describes the first-ever gastroschisis patient managed. Hawkins RB, Raymond SL, St Peter SD, Downard CD, Qureshi FG, Renaud E, Danielson PD, Islam S. In gastroschisis, the abdominal wall does not form completely so the. Gastroschisis is traditionally managed by emergency primary closure, with a temporary silo reserved for large defects unable to be closed primarily. The spectrum ranges from immediate operative closure to elective delayed midgut reduction without anesthesia 8 to delayed repair with a preformed silo. Silicone Silo Bags For the staged reduction of gastroschisis and omphalocele. Segura, Hilary Alpert, Daniel H. We reduced part of the herniated viscera Fig. Median days to closure were 6 (0 to 85) days. OMPHALOCELE • Prenatal Diagnosis And Management • Elevation of maternal serum AFP (not as much in gastrisc…. 1%, 16/17, 2004-2008) of infants with severe gastroschisis in comparison to our previous experience (60. 1016/j. While the cause (s) is (are) unknown, gastroschisis may result from multiple maternal genes interacting with environmental factors. We hypothesized that patients undergoing SP for ≤5 days would have largely equivalent outcomes compared to IC patients. If needed, a special bag called a silo can be used. Standard of care (SOC) silos cost $240, while median. Instead, a "silo" or sterile bag will be used for the intestines. Staged Closure with Silo (most defects) Place peripheral arterial line (PAL) prior to procedure with initial infusion of isotonic amino. Infants have a high proportion of intrauterine growth restriction. This method can take up to a week. This is to protect the bowel before surgery. Primary insertion of a Silastic spring-loaded ion) and in doing so avoid placement of a midline su- silo for gastroschisis. Our group was able to demonstrate in two reports the technical feasibility of fetoscopically covering the prolapsed intestine with a natural latex bag. The incidence of stillbirth is approximately 5 percent. Warmer bed should be in flat position. Setting All 28 paediatric surgical centres in the UK and Ireland. 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. Ayman Elhosny, Department of Paediatric Surgery, Tygerberg Children’s Hospital,So, Lai left a bit of intestine outside the body in a silo bag for a few days until the bloating went down, then she put everything back inside, and sewed up the baby, leaving just a 1-inch scar. SB06. The silo is a bag that protects the bowels. Over the course of a few days, the sack is made smaller and smaller, pushing the intestines back into the abdomen. It is rarely associated with genetic conditions. J Matern Fetal Neonatal Med. 3. . Gastroschisis is a congenital defect of the anterior abdominal wall resulting in evisceration of the intestines with exposure to amniotic fluid. 002 Corpus ID: 201714237; Immediate Versus Silo Closure for Gastroschisis: Results of a Large Multicenter Study. So a mesh sack called a silo is stitched around the borders of the defect, and the end of the silo is hung above the baby. The most common interventions in HICs are primary closure in the operating room or use of a preformed silo with gradual intestinal reduction and delayed closure, often at the cotside without general anaes-thetic. Advanced Search Coronavirus articles and preprints Search examples: "breast cancer" Smith JIntroduction: General surgery residents often feel unprepared for rotations on pediatric surgical services as case volume and experience performing pediatric procedures may be inadequate for high acuity, low volume procedures. S. Silo bags are expensive, and different sizes are needed depending on the gastroschisis size. Final result after fascial closure. The incidence of gastroschisis is approximately 1 per 4000 live births [ 1] and is rarely associated with other congenital anomalies. Notify PIPER (1300 137 650) when the baby is born (do not wait until stabilisation is. We excluded those with atresia/necrosis, <34 weeks' gestation, or congenital anomalies. [15]. 9 years in the gastroschisis group was lower than in the omphalocele group (29. Bowel loops were edematous and matted together Fig. Eligible gastroschisis patients were applied with silo bag, gradual reduction of abdominal viscera and elective abdominal wall closure. Materials and methods: Patients were randomized to PC versus DC. After placement, viscera are reduced one or two. 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. [Google Scholar] 42. OVERSTOCK SALE — Shop IV Products,. Gastroschisis is traditionally managed by emergency primary closure, with. Gastroschisis is characterised by the herniation of bowel and other abdominal contents through an abdominal wall defect, just to the right of the umbilicus. US $11. He was intubated at the NICU 6 hours later due to respiratory distress and extubated 24 hours. 1. i recieved a denial that the silo placement was included in the resection. allow the intestines to slowly move into the belly. They are transparent, which enables clinicians to. Placing a spring-loaded silo bag as a bedside procedure without anesthesia on newborns with severe gastroschisis whose viscera cannot be reduced primarily has increased the survival rate (94. 3. o Secure silo to overhead warmer with trach string ties to keep silo contents completely perpendicular to infant abdomen. Microcure is trying to expand silo use for Gastroschisis across Africa. 1). , Ltd. Most cases of fetal gastroschisis involve the intestine and other. (12)(13)(14) (15) (16)(17) The Silo is a synthetic bag designed to cover the gastroschisis and is fixed to the abdominal wall, normally the fascia. S. o Antibiotics not necessary in the absence of culture positivesepsis or clinical instability or for silo presence. US$ 9-13 / Piece Min. Frontal and B. Regarding the silo treatment: In the past, a silo was created using sterile plastic bags and typically sutured to the abdominal wall. View All. 1999; 15:442–4. Methods: A prospective data collection and chart review were done all gastroschisis patients from May 2011 to April 2013. This article provides an overview of selected neonatal surgical emergencies, including congenital diaphragmatic hernia, meningomyelocele, omphalocele, and gastroschisis. There were 12 patients who fell into the urobag group, 6 patients diagnosed as having gastroschisis and ruptured omphalocele each. Bentec Medical GR74089-06 - BAG, SILO VENTRAL WALL DEFECT, 3CM, EACH. This video demonstrates how to insert a preformed silo bag in a baby with gastroschisis without anesthesia. Case 1A 37-week neonate with gastroschisis and jejunal atresia underwent silo formation after failed primary. Gastroschisis is when a baby is born with the intestines sticking out through a hole in the belly wall near the umbilical cord. J Pediatr Surg. The abdominal wall defect is quite small, and I struggled to get a 4 cm silo placed. We designed a single institution pilot study to assess whether simulation-based training (SBT) for placement of a silastic silo. 1% for high-, middle-, and low-income countries, respectively . 565-574, 10. U. 9 Advocates of using a preformed silo claim that the spring-loaded silo is easy to install. Specialty: Pediatric Surgery. mean birth weight was 2. List Price Call for Pricing. This allows gravity to help the intestine to slip back into the abdomen. 8,9 The development of a pre-formed spring-loaded silo has shifted management of gastroschisis with some reports supporting the. In the absence of standard silos we decided to use latex surgical gloves as a silo bag. Pediatr Surg Int 1999; 15: 442–444, doi: 10. Gastroschisis is a common congenital condition in babies. J Pediatr Surg. H. 24294/JPEDD. The silo bag protected the herniated contents for 24 days prior to surgical intervention. 18. In general, it carries a good survival rate of post-surgery 3. Production Capacity: 10000PCS/Month. Gastroschisis in a premature infant in Papua New Guinea: initial treatment with a normal saline bag silo. Sell Unit EACH. 8 per 10,000 to 4. 7%) silos were applied at cot side (no sedation, n = 93). thdonghoadian. The purpose of this meta-analysis was to compare short-term outcomes associated with primary fascial closure and staged repair with a silo in patients with gastroschisis. Gastroschisis is a congenital anterior abdominal wall defect characterized by herniation of abdominal contents through a defect usually located to the right side of the umbilical cord (). It occurs when a child’s abdomen does not develop fully while in the womb. For the staged reduction of gastroschisis and omphalocele Choose from bag openings with a wire spring encapsulated in silicone or a wire-free ring. Ships Within 24 Hours. ; Kim, S. Conclusions: 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. 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. Dr. Gastroschisis, the most common type of abdominal wall defect, has seen a steady increase in its prevalence over the past several decades. Musemeche, C. Most infants are treated surgically on the first day of life. Afr J Paediatr Surg 18(2):123–126. . Gastroschisis mortality rates increased from epoch 1 to epoch 3 (4. Early in all pregnancies, the intestine develops inside the umbilical cord and then usually moves inside the abdomen a few weeks later. This happens because a hole was left in the abdominal wall when it formed during pregnancy. Schlatter M, Norris K, Uitvlugt N, DeCou J, Connors R (2003) Improved outcomes in the treatment of gastroschisis using a preformed silo and delayed repair approach. , Ltd. Arch. If so, the surgeon usually arranges the intestines in a bag called a silo to:. Normally, the intestines, stomach, liver, bladder and other organs grow outside your baby’s body at first. These commercially produced silos have an inner diameter between 3. 7%). The iron + sewn seal, sewn seal, and ironed seal on the silos yielded tensile strengths of 31. 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. Background Gastroschisis mortality in sub-Saharan Africa (SSA) remains high at 59–100%. They are transparent, which enables clinicians to visualise bowel colour and allows for gentle reduction until closure. Objective To evaluate the impact of the use of a bedside-placed spring-loaded silo (SLS) on practice patterns and on outcomes for infants with gastroschisis. Silo Bags. Often, the intestines don't fit in the belly because they're swollen. A sutured silo had traditionally been used until 1995 when the use of a spring-loaded silo was reported. 1995 Aug;30 (8):1169-71. Product Description. This means the baby weighs less than we would expect for the gestational age. Arch. These commercially produced silos have an inner diameter between 3. The purpose of this study was to compare outcomes between each approach using a multicenter retrospective analysis. Bentec Medical GR74089-02, BAG, SILO VENTRAL WALL DEFECT, 7. Most often, the infant's abdominal cavity is too small for the intestine to fit back in. Y akea EJ, Kulau BD, Mulu J, Duke T. (inches. A sutured silo had traditionally been used until 1995 when the use of a spring-loaded silo was reported. The quality of evidence comparing PFS with alternate treatment strategies for gastroschisis is poor. Most babies with gastroschisis are born naturally. The Alexis ® wound retractor applied as a Silo bag. Sometimes, gastroschisis can be repaired surgically at birth. Surgical strategies in complex gastroschisis. 9 mm, which yields a calculated volume of. (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. 13). Whitlock K et al (2013) Primary fascial closure versus staged closure with silo in patients with gastroschisis: a meta-analysis. List Price $ 625. Gastroschisis is a birth defect where a hole in the abdominal (belly) wall beside the belly button allows the baby’s intestines to extend outside of the baby’s body. With this CE mark, Bentec will be able to offer outside the U. We hypothesized that patients undergoing SP for ≤5 days would. Often, the intestines don't fit in the belly because they're swollen. let the water move out of the intestines so they shrink to normal sizeThe treatment for gastroschisis is surgery. The significant fluid balance changes and heat loss from exposed intestines in gastroschisis require emergency surgical intervention to establish. let the water move out of the intestines so they shrink to normal sizeKeywords: Gastroschisis, limited resources, medical equipment, silo bag Address for correspondence: Dr. 1. We describe a collaboration between engineers and surgeons in the United States and Uganda to develop a silo from locally available materials. S. Gastroschisis with silo in place, Fig 5. Management of gastroschisis varies widely. Management has. If needed, a special bag called a silo can be used. List Price $729. management outcome of gastroschisis using our improvised silo, and performing an extended right hemicolectomy. The bowels are not contained in a covering but are exposed to the amniotic fluid during pregnancy then the air when your baby is born. Disposable Medical Supply Optical Bladeless Trocar with CE. This could make it hard for your baby to breathe if the intestines press against the lungs. Kim S. Source publication Vacuum Assisted Closure (VAC) and Platelet-Rich Plasma (PRP): A Successful Combination in a. SSP also offers a wide-body silo bag with a 5. Wu Y, Vogel AM, Sailhamer EA, et al. 6%, and 83. Closure type, ventilator days, days to. This is a 17cm long polyurethane bag with a neck diameter of 7. They are made of clear implantable-grade silicone and our seamless bags allow for excellent visualization of their contents. Currently, tertiary hospitals in low-income countries experience great difficulty in purchasing these bags. There were 27 (33. Sell Unit EACH. Multi-Language Interpreter Services. 1 It can be diagnosed by prenatal ultrasound or upon birth through physical examination. 8 ± 6. Silo bags are synthetic, flexible silicone bags used to cover and protect the bowel of neonates born with gastroschisis. The cost may be lower according to the source of the disposable equipment. Learn to separate truth from a myriad of outdated misinformation out there. In one-third to one-half of babies with gastroschisis, the belly is not big enough to put all the bowels back right away. Sometimes other organs also stick out. 10. The use of a preformed silo initially followed by delayed fascial closure in infants with gastroschisis is associated with improved fAscial closure rates, fewer ventilator days, more rapid return of bowel function, and fewer complications compared with attempts at initial early repair. Other organs that may also be outside the abdomen are the large intestine, stomach, and/or gallbladder. Gastroschisis silos are often unavailable in sub-Saharan Africa (SSA), contributing to high mortality. Kimble et al prospectively collected data on 35 newborns with gastroschisis born between 1999 and 2001. Ships Within Special Order. Unfortunately, that's an outdated figure. There were no differences seen between PC and DC in LOS, time to enteral feeds, or ventilator times, and none of the patients in this series developed abdominal compartment syndrome after closure. 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 doctors decrease the silo size as the abdomen expands and can fit more. The intestine is placed inside the silo bag and the ring is placed under the fascia. A temporary stoma was brought out at a convenient place on the silo sheath and fixed with sutures. Laboratory Tests. The bowels are not contained in a covering but are exposed to the amniotic fluid during pregnancy then the air when your baby is born. The cause of gastroschisis is unknown, but young maternal age is the strongest and most consistent risk factor associated with gastroschisis [1]. Kim, Ryan P. 8%) primary and 53 (66. About 1,800 babies born in the United States are born with gastroschisis. Disposable Surgical Instrument Wound Protector Surgical Retractor for Gastroschisis. Microcure is trying to expand silo use for Gastroschisis across Africa. Abstract Background We report a prospective randomized trial comparing primary closure (PC) to bedside silo and delayed closure. Gastroschisis refers to an opening, or ‘hole’, in the abdominal wall. Ventilatory Support in the Patients With Gastroschisis Staged Repair Primary Closure (n = 20) (n = 4) Ventilation requirement 4 2 Preoperative intubation 1 0 Duration (no. Brand Name: Ventral Wall Defect Silo Bag Version or Model: GR74089-02 Commercial Distribution Status: In Commercial Distribution Catalog Number: Company Name: BENTEC MEDICAL OPCO, LLC Primary DI Number:. 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. List Price $ 849. Pediatr Surg Int. This condition occurs when an opening forms in the baby’s abdominal wall. 10, 21 Gastroschisis defects commonly have a diameter of 1. et al. J Pediatr Surg. Primary closure is preferred, but, if not feasible, then a silo bag is used to reduce the small bowel, followed by closure. 3%. Design Population based cohort study of all liveborn infants with gastroschisis born in the United Kingdom and Ireland from October 2006 to March 2008. The silo is fashioned from a sterile urine bag and a rubber ring from an automobile oil filter (Fig. The management of gastroschisis is a challenging problem for pediatric surgeons the world over. 2%) staged closures. Still rare, yes, but the instances of gastroschisis have nearly doubled over. The hidden costs of delayed operative management using a spring-loaded silo for gastroschisis Jennifer D. Gastroschisis is a ventral abdominal wall congenital defect with bowel herniation outside the abdominal cavity. Fortunately, treatment of a left-sided gastroschisis is identical to that of the right-sided form . By day of life (DOL) 22, minimal visceral contents had been reduced, and the silo was difficult to maintain due to the large size of the fascial defect and loss of abdominal. 50. For example, we were told that gastroschisis affects roughly 1/5000 pregnancies. The spring-loaded ring maintains the stability of the silo, and does not require sutures. 26 kg. In a meta-analysis that included studies with least selection bias, staged closure with silo was associated with better outcomes and a significant. In this study, Dr. 1%. Overall, omphalocele infants had higher mortality rate compared to gastroschisis infants [OR 2. Approximately 16,000 babies are born with gastroschisis across #subsaharanafrica each year with a. SILO Bags provide a closed environment for the containment of the exposed intestine and reduce the leakage of serous exudates and. Silos are indicated for the protection of theSilo bags are expensive, and different sizes are needed depending on the gastroschisis size. Results: One hundred fifty infants were included, and 139 (92. Four patients (22. We have shifted from PC to SC. Rural and Remote Health 2022; 22: 707 4. 2015 Jul 1;4(3):28. Introduction and epidemiology. 2%) underwent primary closure before 24 hours of life. 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. Often, the intestines don't fit in the belly because they're swollen. Gastroschisis is a relatively uncommon condition that occurs in approximately 1 in 5,000 live births. • The risk factors are maternal young age and smoking. View PDF View article. 6 This may result from direct protein loss from the intestine into the surrounding amniotic fluid. Data were collected by case-note review and analyzed with respect to GA, ventilation, and core outcomes. D. Gastroschisis repair after abdominal contents have been reduced. Non-Billable On/After Oct 1/2015. 05%). 73 should only be used for claims with a date of service on or before September 30, 2015. Conclusion: Earlier closure of gastroschisis after silo placement was associated with earlier feed initiation and shorter time to full feeds. Disposable Silo Bag for Gastroschisis, Find Details about Surgical Instrument, Medical Device from Disposable Silo Bag for Gastroschisis - Microcure (Suzhou) Medical Technology Co. No free ride? The hidden cost of delayed operative management using a spring-loaded silo for gastroschisis. • For bedside silo-placement / closure, recommend placing peripheral IV, pulse oximeter, nasal cannula (in case supplemental oxygen is required), and an orogastric tube (which should be suctioned manually during reduction of bowel). Between 1993 and 1997, 38 children presented with gastro-schisis. Silicone Silo Bag Description Diameter Length Price Order for Doctor: Patient: Surgery Date: Catalog No: Quantity: Author: Ray Hennessy1st placement of silo(49605): Weighing 1. 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. Product Code. Bentec Medical GR74089-01 - BAG, SILO VENTRAL WALL DEFECT, 5CM, EACH. Gastroschisis is when a baby is born with the intestines, and sometimes other organs, sticking out through a hole in the belly wall near the umbilical cord. It is identified, both prenatally and postnatally, by the location of the defect, most often to the right of a normally-inserted. 3. Qty: Add to Cart. The mortality rate of patients with gastroschisis is proportional to the income per capita in a given country, being 3. 4103/ ajps. 8%) were staged. 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. Silo inaccessibility contributes to this disparity. Bentec Medical has received the CE certification for its Silo Bag products on April 18, 2021. Bentec Medical GR74089-07, BAG, SILO VENTRAL WALL DEFECT, 4CM, EACH. Silo bags are expensive, and different sizes are needed depending on the gastroschisis size. 1. Jensen AR, Waldhausen JH, Kim SS. The pri mary goal ofA newborn female that was diagnosed with gastroschisis underwent placement of a silo at bedside. This chapter describes the surgical procedure for silo placement for gastroschisis. Primary fascial closure versus staged closure with. also, the. 1. We used self-produced preformed silo bags in four neonatal cases with gastroschisis due to the unavailability of manufactured silo bags. AJPS_ 62_ 20 Elhosny A, Banieghbal B (2021) Simplified preformed silo bag crafted from standard equipment in African Hospitals. S. A silo can be slowly tightened to help the intestines shrink and go back into the belly. Objectives: Assess the efficacy of using a sutureless elastic ring silo (SERS) for the management of gastroschisis. "Multidisciplinary Development of a Low-cost Gastroschisis Silo - Free download as PDF File (. Sell Unit EACH. 5 hours. 01 ± 0. SKU Number CIA2253925. which compared primary repair with staged closure with silo in patients with gastroschisis showed that in studies with the least amount of bias, silo. 2015 ICD-9-CM Diagnosis Code 756. There were 12 patients who fell into the urobag group, 6 patients diagnosed as having gastroschisis and ruptured omphalocele each. Gastroschisis refers to a rare birth problem that is characterized by a specific defect affecting the anterior portion of the abdominal wall, in which the abdominal intestinal contents are noted to be freely protruding outside a baby’s body. Treatment is a surgery that slowly returns the intestines to the. SSP Silo Bags provide a secure, closed environment for exposed viscera during the staged closure of congenital ventral wall. We reduced part of the herniated viscera Fig. Multidisciplinary development of a low-cost gastroschisis silo for use in sub-saharan Africa. Gastroschisis can be detected by a routine prenatal ultrasound during a mother’s pregnancy, usually around 18-20 weeks gestation. A spring-loaded silicone silo was placed at birth. Purchase Qty. If so, the surgeon usually arranges the intestines in a bag called a silo to:. 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. 018), closure by DOL4 showed a trend toward earlier feeding (p=0. Although there was no difference in the complication rates between the groups, several problems were evident in the silo group: 15% (4/27) required silo replacement, 44% (12/27) required fascial. Gastroschisis is the most common congenital abdominal wall defect. PMID: 33348575. Design Retrospective review comparing neonates with. Dudrick’s development of total parenteral nutrition in the late 1960s, and Schuster’s successful application of extraabdominal housing (silo) for eviscerated bowel in 1967, provided surgeons with much needed tools to enhance the treatment and improve the survival of infants with. Objective To describe one year outcomes for a national cohort of infants with gastroschisis. Each day a part of the intestines is gently pushed into. 26 kg. The saline bag is cut. Specialty: Pediatric Surgery. 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. TBA. Since 1995 a spring-loaded silo has been made commercially available that is commonly used. Gastroschisis silo bag A sterile, synthetic polymer bag intended to contain and isolate the protruding intestine of a neonate with.