A Technique to Avoid the Marginal Artery During Divided Colostomy in Neonates

Abstract

Colostomy is a frequently performed procedure in neonates presenting with anorectal malformation and Hirschsprungs disease. A divided colostomy is more commonly performed but has a definite risk of injury to the marginal artery during the procedure, leading to stoma necrosis. This is a description of a technique which identifies, displaces and preserves the marginal artery during colostomy construction and therefore ensures a safer colostomy in neonates without the danger of necrosis.

Key words: Technique. Marginal artery, Colostomy