Use of sterile adhesive film and polypropylene mesh in the construction of a temporary silo in the treatment of omphalocele

Abstract

When a primary closure is not feasible, a synthetic material must be used in patients with congenital abdominal wall defects. Sterile adhesive film (drape) is reinforced with polypropylene mesh, and then it is used as a prosthesis for constructing a temporary silo. The drape surface is applied to the herniated viscera, which provides a smooth surface that does not adhere to the bowel loops. The adhesive film (drape) is a sterile, impermeable, transparent, and flexible material, which is readily available in all operating rooms. When combined with polypropylene mesh, an effective prosthesis can be created for the staged surgical treatment of congenital abdominal defects such as omphalocele and gastroschisis.