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Introduction: Necrotizing Enterocolitis is a life-threatening disease that affects only newborns. Mortality at NEC reaches 50%. The gold standard in diagnosis remains abdominal radiography, including face and left profile. Treatment begins with standard resuscitation based on the patient‘s vital signs. The first intervention in case of suspected necrotizing enterocolitis is to stop any enteral feeding. Infants who do not respond to conservative medical treatment and develop a worsening condition or bowel perforation will require surgery. A standard laparotomy is generally performed in the gentlest possible way in an attempt to preserve the maximum bowel length. Purpose: Our report aims to present a new method of Enterostomy using a T-tube drainage in cases of necrotizing enterocolitis complicated by spontaneous intestinal perforation. Materials: We present our experience with 9 patients diagnosed with necrotizing enterocolitis and intestinal perforation, treated with a “T-tube” enterostomy. Conclusion: Similar signs and symptoms of necrotizing enterocolitis, such as food refusal, vomiting, lethargy, abdominal pain, are nonspecific, so clinicians should be especially careful when these symptoms are present in newborns. Early diagnosis, adequate conservative and surgical treatment are of exceptional importance. We recommend a T-tube enterostomy method of treatment, which does not require re-intervention to establish a passage. [ABSTRACT FROM AUTHOR]