A Malone antegrade continence enema , also known as Malone procedure and with the abbreviation MACE , is a surgical procedure used to create a proximal continental pathway to the anus facilitate the evacuation of fecal using enemas.
Video Malone antegrade continence enema
Description of procedure
This operation involves connecting the appendix to the abdominal wall and forming a valve mechanism that allows catheterization of the appendix, but avoids leakage of the stool through it. If the previous appendix is ​​removed or unusable, neoappendix can be made with a flap cecal.
Maps Malone antegrade continence enema
Indication
This is done to treat fecal incontinence that does not respond to treatment with drugs. This is often done with procedures (Mitrofanoff procedures) to treat urinary incontinence as they often coexist, as in spina bifida.
Alternative surgery
Percutaneous cecostomy tubes are an alternative to MACE. This involves inserting a catheter into a cecum for the same purpose (for enema). Percutaneous cecostomy procedures, such as MACE, have been done laparoscopically.
Eponyms
It's named after a surgeon (Patrick Malone) who popularized it.
Malone described it as an
See also
References
External links
Source of the article : Wikipedia
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