Preformed silos in the management of gastroschisis: new progress with an old idea.

Outcomes for infants with gastroschisis have paralleled advances made in neonatal intensive care and the use of parenteral nutrition. Mortality rates approaching 100% a half century ago are now closer to 2% to 8%. Further reduction in morbidity has been the focus of many studies during the past decade. Efforts have been made to identify factors associated with the development of gastroschisis and to evaluate the mode, timing, and location of delivery on the outcome of these infants. The effect of the mode and timing of definitive surgical repair has received attention by more recent reports of newer approaches, including the use of a preformed silo to provide coverage for the exposed viscera and allow a gradual reduction into the abdominal cavity.