{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T07:47:22Z","timestamp":1782719242741,"version":"3.54.5"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005366","name":"University of Oslo","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005366","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate outcomes of a single-site divided colostomy in neonates with anorectal malformations (ARM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was conducted of neonates with ARM undergoing colostomy creation between 2012 and 2024 at a tertiary referral center. The technique used a divided colostomy with the proximal limb raised\u2009~\u20091.5\u00a0cm above skin level and a narrowed distal mucous fistula within the same opening, allowing coverage with a single stoma bag. The distal bowel was irrigated at surgery. Complications were classified using the Clavien-Madadi (CM) system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty-one patients (79% male) were included, operated at a median age of 1 (1\u20133) day. Postoperative complications occurred in 12 (20%) patients. Two (3%) had CM IIIb complications (parastomal hernia and misidentification of bowel limbs). Urinary tract infection (CM II) developed in 6 (10%) patients; three with rectourethral fistula (one with vesicoureteral reflux), two with cloaca, and one without a fistula. Additional complications included granulation tissue requiring treatment (1) and wound infections requiring antibiotics (3). Major dressing difficulties were reported in 5 (8%) patients, while 20 (33%) had minor to moderate issues managed conservatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Single-site divided colostomy is a safe technique with predominantly minor complications, minimal scarring, and no observed fecal overflow.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00383-026-06507-2","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T07:17:59Z","timestamp":1782717479000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neonatal single-site divided colostomy in anorectal malformation"],"prefix":"10.1007","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8552-8185","authenticated-orcid":false,"given":"Signe","family":"Olsb\u00f8","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid Ingeborg","family":"Austrheim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders Telle","family":"Hoel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Bj\u00f8rnland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"issue":"1","key":"6507_CR1","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1186\/1750-1172-2-33","volume":"2","author":"MA Levitt","year":"2007","unstructured":"Levitt MA, Pe\u00f1a A (2007) Anorectal malformations. 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