Conclusion: Laparotomy for NEC on NICU is a treatment option for neonates who are too unstable to transfer to
theatre. However,with 67% dyingwithin 6.5-hours and a further 13% after months in hospital, we must consider
whether surgery is always in their best interests. Development of a prediction model to help distinguish those at
highest risk of long-term morbidity and mortality could help with decision making in this difficult situation.