A COMPARATIVE STUDY BETWEEN SANTULLI ILEOSTOMY AND LOOP ILEOSTOMY IN NEONATES WITH MECONIUM ILEUS

Area of Science:

• Pediatric Surgery
• Neonatal Care
• Gastrointestinal Surgery

Background:

• Meconium ileus is a frequent cause of intestinal obstruction in newborns.
• Surgical management options include Santulli and loop ileostomy.

Purpose of the Study:

• To compare the clinical effectiveness of Santulli ileostomy versus loop ileostomy in neonates with meconium ileus.
• To identify the optimal surgical approach for managing meconium ileus.

Main Methods:

• Retrospective analysis of 58 neonates diagnosed with meconium ileus.
• Inclusion of 53 patients with complete hospital records for data extraction.
• Collection of demographic, surgical, and postoperative complication data.

Main Results:

• Santulli ileostomy showed significantly lower rates of skin excoriation (21.4% vs. 84%), ostomy prolapse (0% vs. 28%), and surgical site infection (7.1% vs. 28%).
• Ileostomy output was substantially reduced in the Santulli group at week 1 (70.53±15.11 ml vs. 144.6±19.99 ml) and week 4 (2.14±4.98 ml vs. 18.4±17.95 ml).
• Hospital stay was shorter for Santulli ileostomy (12±2.34 days) compared to loop ileostomy (14.24±1.47 days).

Conclusions:

• Santulli ileostomy offers significant advantages over loop ileostomy for treating meconium ileus in neonates.
• The Santulli technique results in reduced surgical site infections, skin excoriation, and ostomy prolapse.
• Improved ileostomy output and decreased hospitalization time favor the Santulli ileostomy approach.