Gastroschisis in a premature infant in Papua New Guinea: initial treatment with a normal saline bag silo

Abstract

This case report describes the staged management gastroschisis in a low-birthweight baby in Papua New Guinea, where a silo was fashioned using a normal saline bag to protect the bowel, while the baby stabilised and was ready for later abdominal wall closure. We discuss the need for improvisation to prevent sepsis and other complications and to improve outcomes for congenital malformations where resources are limited.

Keywords

• congenital abnormalities
• gastroschisis
• neonatal surgery
• Papua New Guinea.