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Volume 9
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10.3390/children9010084
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Article

Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience

by
Nicolas Vinit
1,2,
Véronique Rousseau
1,
Aline Broch
1,
Naziha Khen-Dunlop
1,2,
Taymme Hachem
3,
Olivier Goulet
2,4,
Sabine Sarnacki
1,2 and
Sylvie Beaudoin
1,2,*
1
Department of Pediatric Surgery and Urology, Necker-Enfants Malades Hospital, APHP, 75015 Paris, France
2
Faculté de Médecine Paris Centre, Université de Paris, 75006 Paris, France
3
Department of Neonatology, Necker-Enfants Malades Hospital, APHP, 75015 Paris, France
4
Department of Gastroenterology, Hepatology and Nutrition, Necker-Enfants Malades Hospital, APHP, 75015 Paris, France
*
Author to whom correspondence should be addressed.
Children 2022, 9(1), 84; https://doi.org/10.3390/children9010084
Submission received: 22 November 2021 / Revised: 28 December 2021 / Accepted: 5 January 2022 / Published: 7 January 2022
(This article belongs to the Special Issue Clinical Advances and Perspectives on Neonatal Surgery)
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Abstract

In our experience, the Santulli procedure (SP) can improve bowel recovery in congenital intestinal malformations, necrotizing enterocolitis (NEC), and bowel perforation. All cases managed at our institution using SP between 2012 and 2017 were included in this study. Forty-one patients underwent SP (median age: 39 (0–335) days, median weight: 2987 (1400–8100) g) for intestinal atresia (51%, two gastroschisis), NEC (29%), midgut volvulus (10%), Hirschsprung’s disease (5%), or bowel perforation (5%), with at least one intestinal suture below the Santulli in 10% of cases. The SP was performed as a primary procedure (57%) or as a double-ileostomy reversal. Anal-stool passing occurred within a median of 9 (2–36) days for 95% of patients, regardless of the diversion level or the underlying disease. All three patients requiring repeated surgery for Santulli dysfunction had presented with stoma prolapse (p < 0.01). Stoma closure was performed after a median of 45 (14–270) days allowing efficient transit after a median of 2 (1–6) days. After a median follow-up of 2.9 (0.7–7.2) years, two patients died (cardiopathy and brain hemorrhage), full oral intake had been achieved in 90% of patients, and all survivors had normal bowel movement. Whether used as primary or secondary surgery, the SP allows rapid recovery of intestinal motility and function.
Keywords: neonatal surgery; Santulli procedure; intestinal atresia; necrotizing enterocolitis; Hirschsprung’s disease neonatal surgery; Santulli procedure; intestinal atresia; necrotizing enterocolitis; Hirschsprung’s disease

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MDPI and ACS Style

Vinit, N.; Rousseau, V.; Broch, A.; Khen-Dunlop, N.; Hachem, T.; Goulet, O.; Sarnacki, S.; Beaudoin, S. Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience. Children 2022, 9, 84. https://doi.org/10.3390/children9010084

AMA Style

Vinit N, Rousseau V, Broch A, Khen-Dunlop N, Hachem T, Goulet O, Sarnacki S, Beaudoin S. Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience. Children. 2022; 9(1):84. https://doi.org/10.3390/children9010084

Chicago/Turabian Style

Vinit, Nicolas, Véronique Rousseau, Aline Broch, Naziha Khen-Dunlop, Taymme Hachem, Olivier Goulet, Sabine Sarnacki, and Sylvie Beaudoin. 2022. "Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience" Children 9, no. 1: 84. https://doi.org/10.3390/children9010084

APA Style

Vinit, N., Rousseau, V., Broch, A., Khen-Dunlop, N., Hachem, T., Goulet, O., Sarnacki, S., & Beaudoin, S. (2022). Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience. Children, 9(1), 84. https://doi.org/10.3390/children9010084

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