Management of gastroschisis using standard urobag as silo

Rajesh Gupta, Aradhana Singh


The management of gastroschisis is a challenging problem for pediatric surgeons the world over. There are so many different options ranging from primary closure to staged closure using various kinds of silo. Silos are expensive and not available everywhere. A cheaper and easily available urobag has been tried for staged reduction with more than satisfactory outcome. We reported three cases of gastroschisis in preterm and low birth weight infants managed by this method.


gastroschisis; silo; urobag

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Kunz SN, Tieder JS, Whitlock K, Craig Jackson J, Avansino JR. Primary fascial closure versus staged closure with silo in patients with gastroschisis: A meta-analysis. J Pediatr Surg 2013; 48(4): 845–857. doi: 10.1016/j.jpedsurg.2013.01.020.

Aldrink JH, Caniano DA, Nwomeh BC. Variability in gastroschisis management: A survey of North American pediatric surgery training programs. J Surg Res 2012; 176(1): 159–163. doi: 10.1016/j.jss.2011.05.012.

Puri A, Bajpai M. Gastroschisis and omphalocele. Indian J Pediatr 1999; 66(5): 773–789. doi: 10.1007/BF02726 271.

Waldhausen JHT. Surgical management of gastroschisis. Neoreviews 2005; 6(11): e500–506. doi: 10.1542/neo.6-1 1-e500.

Ravinthiran V, Centia S. A technique of transporting neo-nates with gastroschisis. Indian Pediatr 2007; 44: 51–52.

Eltwab Hashish AA, Elhalaby E. Evolution of management of gastroschisis. Ann Pediatr Surg 2011; 7(1): 10–15.

doi: 10.1097/01.XPS.0000393094.25977.48.

Owen AD, Marven S, Bell J. Gastroschisis: Putting the bowel back safely. Infant 2009; 5(2): 40–44.

Raveenthiran V, Subramanian P, Ragavan M, Mayavadana Rao PV. Smallest Indian neonate survives silo treatment for gastroschisis. J Indian Assoc Pediatr Surg 2004; 9: 166–168.

Goyal R, Kumar G, Dubey R, Malakar PK. Management of gastroschisis in peripheral hospital. Med J Armed Forces India 2007; 63(4): 392–393. doi: 10.1016/S0377-1 237(07)80035-9.

Salihu HM, Boos R, Schmidt W. Omphalocele and gastroschisis. J Obstet Gynaecol 2002; 22(5): 489–492. doi: 10.1080/0144341021000003609.



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