Criteria of the method of creating anastomosis in the newborns with sustainable permeability

The tactics among children with primary anastomoses, in whom complications were detected in the early postoperative period, were the following: The failure and stenosis of the anastomosis zone at the level of the jejunum was most often observed. In end-to-end anastomoses, at the level of the jejunum, the failure of the anastomosis zone was observed in 2 cases (2 of 4 newborns), with T-shaped anastomoses, fistula failure was noted in 1 newborn (1 of 11). The tactics for establishing small bowel anastomosis insufficiency was the following: in 1 case, the anastomosis was disconnected with the removal of a double junction (1), in the latter case the anastomosis zone was resected to create a T-shaped discharge anastomosis, since the pathology was localized at the level of the jejunum. Fatal outcome occurred in 2 infants.