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Silo Placement for Gastroschisis

  • Jamie E. Anderson
  • Payam SaadaiEmail author
Chapter

Abstract

This chapter describes the surgical procedure for silo placement for gastroschisis. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: ensure adequate sedation and analgesia, decompress the colon to express meconium, choose a silicone spring-loaded silo with the diameter chosen based on the size of the defect, place the eviscerated intestines in the bag and place the ring inside the abdomen underneath the fascia, reduce over several days.

Keywords

Pediatric surgery Operative dictation Gastroschisis Silo placement Neonatal surgery Spring-loaded abdominal silo Abdominal wall defect Congenital malformation 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.University of California, Davis, Department of Pediatric General, Thoracic and Fetal SurgerySacramentoUSA
  2. 2.UC Davis Medical Center/Shriners Hospital for Children, Division of Pediatric SurgerySacramentoUSA

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