Proximal decompression by tube appendicostomy with pull through procedures in pediatric operations.

The technique of tube appendicostomy for proximal decompression of anastomosis at the anus and colon after pull-through operations in children is described. It has been used in 29 patients with good results without complications and allows for decompression of gas and liquid stool in the immediate postoperative period. It avoids the need for a third operation when used in conjunction with an initial distal ostomy.