Neonatal enterostomy complications：Can a simple drainage device inspired by prepuce surgery prevent？

Abstract Background Complications frequently occur after neonatal enterostomy. Enterostomy formation is a common outcome following emergency neonatal laparotomy. This study aims aimed to determine whether the incidence of complications after enterostomy can be decreased with a drainage device and we introduce a new method for improving proximal enterostomy in newborns.Methods This study is a retrospective case note review of emergency neonatal enterostomy incidence over 3 years (2/2016-2/2019） at our center. All surgeries were performed by a single surgeon. Intraoperative findings and complications, operative times, and postoperative complications were reviewed for all children.Results All 47 surgeries were successfully completed (32 boys and 15 girls). Average daily age (3.49±5.61) d (mean±S.D.). Full-term children in 22 cases, 25 infants were preterm. Eleven patients were diagnosed with ARMs, twenty with NEC, and eleven with SIP requiring laparotomy. Two patients had congenital intestinal atresia(CIA),one had incarcerated inguinal hernia(IIH), and Two had congenital megacolon(HD). Twenty of these cases used a modified drainage device, One case of prolapse of the intestinal, one case of premature surgery due to excessive orifice flow, and one case of periostomy dermatitis，Ohter patients not experienced intraoperative or postoperative complications.Conclusions Based on our preliminary observations, the simple drainage device is a safe and effective operation device that can reduce the risk of stoma-related complications.