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Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
Comparison of outcome of preformed silo with traditionally constructed silo among neonates with gastroschisis
Abstract
Aims: Aim of the study was to observe the usefulness of a Preformed silo made of Alexis wound Protector/retractor in comparison to those patients undergoing Traditionally constructed silo under general anesthesia.
Methods: This is a quasi-experimental study conducted in the Division of Pediatric Surgery, Bangladesh Shishu Hospital, from October 2022 to March 2024. Patients were randomly divided into Group A and Group B respectively. For Group A, Preformed silo using a Alexis Wound Retractor/Protector was done without the use of general anesthesia, the bowel gradually allowed to reduce into the abdominal cavity. For Group B, Traditional silo constructed using a Urobag under general anesthesia after doing the proper preoperative preparations. Outcome variable time arrival to procedure time, bowel reduction time, initiation of first enteral feed, survival duration and mortality were recorded and compared.
Results: A total of 60 patients with Gastroschisis were enrolled in this study, of which 30 patients in each group. Both groups had a mean age of 1day with gestational age 36 weeks respectively. Preformed silo group showed a longer survival duration around 22 days and with traditional silo around 12 days respectively. Initiation of enteral feed after closure was on the 5th POD for traditional silo and 3rd POD for preformed silo. Mortality of 48% in preformed silo group and 52% in traditional silo group.
Conclusion: Preformed silo (Alexis wound retractor) can bypass the hazards of general anesthesia and can become a safer alternative to traditionally constructed silo.

Keywords : Gastroschisis, preformed silo, Alexis wound retractor, traditional silo

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Article available in :
Volume 2, Issue 2, 2025
Page : 54-59
https://doi.org/10.51271/SOC-0036
Article Information
Received : 10 Oca 2025
Accepted : 06 Mar 2025
Published : 10 Nis 2025
Corresponding Author :

Nusrat Jahan Mona: Department of Pediatric Surgery, Bangladesh Shishu Hospital & Institute, Dhaka, Bangladesh

[email protected]
Citation : Mona NJ, Hasan S, Mitul AR. Comparison of outcome of preformed silo with traditionally constructed silo among neonates with gastroschisis. Surg Child. 2025;2(2):54-59.

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