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
Related Articles
- EP ID EP729611
- DOI https://doi.org/10.47606/ACVEN/MV0221
- Views 62
- Downloads 0
Local infiltration with corticosteroid for the finger in trigger
Introduction: Trigger finger is a condition that frequently occurs in the orthopedic consultation and it is an involvement of the fingers, where it gets stuck in a flexion position, with a greater incidence in the thumb,...
Internet use and its relationship with depression, insomnia and self-esteem in high school students, Quito (Ecuador)
The internet has revolutionized people's lives, has transformed relationships family, personal, work and social; indiscriminate use could have negative effects mainly in adolescents. Objective:To estima...
Pilot study of risk factors in pre-eclampsia
Preeclampsia is a pathology that arises in an unknown way, compromising the health status of the maternal-neonatal binomial, causing multi-organ damage. The main characteristic is the relationship with multiple...
The external user satisfaction in waiting time in the hospital general IESS emergency service Milagro - Ecuador
Currently, emergency ser-vices for patients tend to have difficulties in accessing medical care in different areas of the hospital, becoming a public health problem. Objective. To determine the externa...
Validation of the methodological instrument to determine the influence of lifestyles on the development of non-communicable diseases
In order to guide the re-search process and as part of the mul-tidisciplinary team in health care, it is proposed to apply a pilot plan for the validation of instruments prior to the thesis proj...