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    Extracorporeal Membrane Oxygenation (ECMO) is a lung and/or heart bypass modality, which is used for respiratory and cardiovascular support in critically ill patients who have failed conventional therapy and have a possibility of recovery. The rare ECMO patient may suffer from abdominal catastrophe or abdominal compartment syndrome. Decompressive laparotomy and subsequent open abdomen may be required in order to relieve intra-abdominal pressure and restore blood flow to vital organs, preventing ischemia and necrosis [1].

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    Stoma creation can be necessary and lifesaving in young children with a bowel perforation, necrosis or obstruction [1,2]. In these critically ill children, a stoma is often created instead of a primary anastomosis to avoid the risk of anastomotic leakage. Stoma formation can result in major stoma related morbidity such as stoma necrosis, stenosis, prolapse, and incisional or parastomal hernia [3]. Additionally, excessive fluid loss might lead to dehydration and failure to thrive most specifically in case of ileostomies.

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