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Simplified Preformed Silo Bag Crafted from Standard Equipment in African Hospitals
Silo bags are synthetic, flexible silicone bags used to cover and protect the bowel of neonates born with gastroschisis. They are transparent, which enables clinicians to visualise bowel colour and allows for gentle reduction until closure. Silo bags are expensive, and different sizes are needed dep...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8232359/ https://www.ncbi.nlm.nih.gov/pubmed/33642416 http://dx.doi.org/10.4103/ajps.AJPS_62_20 |
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author | Elhosny, Ayman Banieghbal, Behrouz |
author_facet | Elhosny, Ayman Banieghbal, Behrouz |
author_sort | Elhosny, Ayman |
collection | PubMed |
description | Silo bags are synthetic, flexible silicone bags used to cover and protect the bowel of neonates born with gastroschisis. They are transparent, which enables clinicians to visualise bowel colour and allows for gentle reduction until closure. Silo bags are expensive, and different sizes are needed depending on the gastroschisis size. Currently, tertiary hospitals in low-income countries experience great difficulty in purchasing these bags. 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. The disposable equipment required includes a 200- or 500-ml saline or blood bag, 16- or 18-Fr silicone/latex Foley catheter, Opsite® and 2-0 silk suture. The saline bag is cut and opened transversely. The Foley catheter is cut corresponding to the diameter of the saline bag opening, and both ends of the catheter piece are connected to each other to create a 'circle', which is used as the base for the opening. The edge of the saline bag is turned inside out around the catheter and then securely closed with a continuous suture, which fixes the folded part of the bag to the catheter. These silo bags are cheap and easily and quickly prepared at any centre in Africa and very similar to manufactured silo bags, which are comparatively costly and difficult to procure in limited-resource environments. |
format | Online Article Text |
id | pubmed-8232359 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-82323592021-07-02 Simplified Preformed Silo Bag Crafted from Standard Equipment in African Hospitals Elhosny, Ayman Banieghbal, Behrouz Afr J Paediatr Surg How I Do It Silo bags are synthetic, flexible silicone bags used to cover and protect the bowel of neonates born with gastroschisis. They are transparent, which enables clinicians to visualise bowel colour and allows for gentle reduction until closure. Silo bags are expensive, and different sizes are needed depending on the gastroschisis size. Currently, tertiary hospitals in low-income countries experience great difficulty in purchasing these bags. 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. The disposable equipment required includes a 200- or 500-ml saline or blood bag, 16- or 18-Fr silicone/latex Foley catheter, Opsite® and 2-0 silk suture. The saline bag is cut and opened transversely. The Foley catheter is cut corresponding to the diameter of the saline bag opening, and both ends of the catheter piece are connected to each other to create a 'circle', which is used as the base for the opening. The edge of the saline bag is turned inside out around the catheter and then securely closed with a continuous suture, which fixes the folded part of the bag to the catheter. These silo bags are cheap and easily and quickly prepared at any centre in Africa and very similar to manufactured silo bags, which are comparatively costly and difficult to procure in limited-resource environments. Wolters Kluwer - Medknow 2021 2021-02-18 /pmc/articles/PMC8232359/ /pubmed/33642416 http://dx.doi.org/10.4103/ajps.AJPS_62_20 Text en Copyright: © 2021 African Journal of Paediatric Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | How I Do It Elhosny, Ayman Banieghbal, Behrouz Simplified Preformed Silo Bag Crafted from Standard Equipment in African Hospitals |
title | Simplified Preformed Silo Bag Crafted from Standard Equipment in African Hospitals |
title_full | Simplified Preformed Silo Bag Crafted from Standard Equipment in African Hospitals |
title_fullStr | Simplified Preformed Silo Bag Crafted from Standard Equipment in African Hospitals |
title_full_unstemmed | Simplified Preformed Silo Bag Crafted from Standard Equipment in African Hospitals |
title_short | Simplified Preformed Silo Bag Crafted from Standard Equipment in African Hospitals |
title_sort | simplified preformed silo bag crafted from standard equipment in african hospitals |
topic | How I Do It |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8232359/ https://www.ncbi.nlm.nih.gov/pubmed/33642416 http://dx.doi.org/10.4103/ajps.AJPS_62_20 |
work_keys_str_mv | AT elhosnyayman simplifiedpreformedsilobagcraftedfromstandardequipmentinafricanhospitals AT banieghbalbehrouz simplifiedpreformedsilobagcraftedfromstandardequipmentinafricanhospitals |