Use of a silastic® silo for closure of the abdominal wall in a pediatric patient receiving a cadaveric split liver

Presented is the successful management of a difficult abdominal wall closure after pediatric liver transplantation. A 5-week-old boy with biliary atresia underwent urgent cadaveric split liver transplantation. The left lateral segment of an adult donor was utilized. Postoperatively, abdominal skin and fascia could not be closed. A SILASTIC® (Dow Corning, Midland, MI) silo was applied, and complete closure was possible 6 days later.