Malone antegrade continence enema
| Malone antegrade continence enema | |
|---|---|
vermiform appendix is typically used in the Malone antegrade continence enema. | |
| Other names | MACE, Malone procedure, ACE procedure, continent appendicostomy, Malone antegrade colonic enema |
A Malone antegrade continence enema (MACE), also known as an appendicostomy or Malone procedure, is a
surgical procedure used to create a continent pathway proximal to the anus that facilitates fecal evacuation using enemas
.
Description
The operation involves connecting the
catheterization of the appendix, but avoids leakage of stool through it. By using the patient’s own appendix for the procedure, doctors can avoid using artificial devices which can be seen and can cause the patient irritation.[1] If the appendix was previously removed or is unusable, a neoappendix can be created with a cecal flap.[2]
Indications
It is done to treat fecal incontinence unresponsive to treatment with medications. It is frequently done with a procedure (Mitrofanoff procedure) to treat urinary incontinence as the two often co-exist,[3] such as in spina bifida.
Cecostomy tube alternative
A
laparoscopically.[citation needed
]
Eponym
The procedure is named after the surgeon Padraig Malone who helped popularized it in the 1990s and described it with co-authors as the antegrade continence enema procedure.[5]
See also
- Mitrofanoff appendicovesicostomy
- Mitrofanoff principle
- Monti procedure
References
- ^ "Malone Appendicostomy".
- PMID 12771790.
- PMID 9170222.
- ^ What is a Cecostomy Catheter? cecostomy.com. URL: http://www.cecostomy.com/Introduction/cecostomy.htm Archived 2000-01-26 at the Wayback Machine. Accessed on: August 9, 2008.
- PMID 7735806.