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 70
- Downloads 0
Factors that influence the abandonment of anti-tuberculosis treatment in patients who go to the health subcenters in the city of Milagro, 2019
Tuberculosis is a chronic granulomatous infectious disease caused by Koch's bacillus or Mycobacterium tuberculosis. The problem that is evaluated in this study is that socioeconomic factors influen...
Family context and lived experiences that influence the behavior of adolescent of enders Guayaquil
Introduction: the adolescent seeks autonomy for which there is a distance from the family system in order to function in other contexts, without However, not every time this period develops in the best way possible, gene...
Type 2 diabetes mellitus: Self-care in older adults, from the NOC approach
Introduction:Self-care is the ability of a person to apply the necessary care to cope with a disease or to prevent it, but in the case of the "Lupita Nolivos" fellowship, which provides medical care to...
Maternal-fetal complications in elderly pregnant women. San Jacinto de Buena Fe Health Center, 2020
Elderly pregnancy represents a public health problem due to its repercussions on the mother-child binomial. Objective.To determine the maternal-fetal complications in elderly pregnant women treated at t...
Snake accident as an indicator of hospital care
Snakebite is a biological-environmental risk with a higher prevalence in areas of agricultural, livestock, and fishing productivity, but it involves occupational and population displacement. As a phenomenon, it...