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.
Silos provide a closed environment for containment of exposed intestine. A silo can be placed soon after birth
without need for general anaesthesia to reduce leakage of serous exudate and heat loss, stabilise gut for transfer and reduce risk of torsion of gut, and to aid staged reduction.
The open end of the silo is rolled over a solid but flexible silicone ring which is compressed to allow insertion into the peritoneal cavity. An adhesive dressing of suitable internal diameter to match the Silo is provided to secure the skin tabs to the skin.
The distal end of the bag is re-enforced with nylon mesh and has an eye cut out for suspension with the elastic silicone tubing provided.
A short length of the tubing (30cm approx) can be cut off to form a slip knot around the silo to help reduce the bowel.