A comparative evaluation between Santulli-Type Ileostomy and Alternative Ileostomy Techniques in neonates
Journal Title: Más Vita - Year 2023, Vol 5, Issue 4
Abstract
Introduction: Neonates often encounter various gastrointestinal malformations, necessitating surgical interventions. However, specific guidelines for choosing the ileostomy technique in these cases are lacking. The Santulli-type ileostomy has gained recognition for its benefits, including reduced complications and early restoration of intestinal transit. The aim of this study is to compare the outcomes of the Santulli-type ileostomy with alternative ileostomy techniques. Materials and methods: This is a casecontrol study. Statistical tests, such as chi-square (chi2), relative risk, and confidence interval, were used for comparisons, with p-values indicating the significance of observed differences. Complications during ileostomy permanence, restoration surgery, and nutritional status were analyzed. Results: A total of 58 patients who had undergone ileostomies were included in the analysis (Santulli group: 27, Control group: 31). Santulli ileostomies demonstrated significantly lower prolapse rates (p = 0.03) and fewer readmissions due to dehydration (p = 0.008). Santulli ileostomies showed a trend towards more frequent restoration surgeries (p = 0.2) with shorter ileostomy duration. Caliber differences, stoma closure materials, and complications after restoration surgery favored Santulli ileostomies. Conclusion: Our findings emphasize the benefits of Santulli-type ileostomies in neonates, highlighting their efficacy in reducing complications, enabling early restoration surgery, and facilitating a quicker recovery
Authors and Affiliations
Verónica Polit-Guerrero, Daniel Acosta-Farina, Vicente Salinas-Salinas, Lin Mei Chun, Jimmy Andrade-Montes de oca, Rodrigo Argotti-Zumbana
Keywords
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- EP ID EP729611
- DOI https://doi.org/10.47606/ACVEN/MV0221
- Views 66
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