The Macedo-Malone antegrade colonic enema : A minimal invasive technique that precludes appendix use
Copyright © 2021 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved..
INTRODUCTION: Antegrade continence enema (ACE) is recommended for patients with fecal incontinence/constipation refractory to conservative management. The Malone ACE utilizes the appendix as a catheterizable channel whereas the Macedo-Malone (MM) precludes the use of the appendix. We aimed to illustrate the MM procedure.
METHODS: The left colon is brought out through a small transverse incision on the upper left abdomen and a 3-cm transverse flap in a tenia is created. A 12-Fr silicone Foley catheter is placed on the mucosal surface of the flap to allow creating a tubular conduit. After closure of the anterior wall colonic, the continence valve mechanism is produced by embedding the tube over a serous lined tunnel created by interrupted sutures. The distal portion of the tube is anastomosed into a V shape to the skin flap to avoid stoma stenosis.
DISCUSSION: The advantage of this technique is the all-the time availability for not requiring the appendix which some authors prefer to use for urinary reconstruction. In a previous study, we have shown that the MM produces a high rate (89%) of fecal continence (Mean follow-up: 75 months).
CONCLUSION: We are convinced that this procedure can be incorporated into fecal incontinence/constipation armamentarium.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:18 |
|---|---|
| Enthalten in: |
Journal of pediatric urology - 18(2022), 1 vom: 30. Feb., Seite 98-99 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Macedo Júnior, Antonio [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Constipation |
|---|
| Anmerkungen: |
Date Completed 05.04.2022 Date Revised 20.05.2022 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.jpurol.2021.12.012 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM335339719 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM335339719 | ||
| 003 | DE-627 | ||
| 005 | 20231225225615.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jpurol.2021.12.012 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1117.xml |
| 035 | |a (DE-627)NLM335339719 | ||
| 035 | |a (NLM)34998694 | ||
| 035 | |a (PII)S1477-5131(21)00595-7 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Macedo Júnior, Antonio |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The Macedo-Malone antegrade colonic enema |b A minimal invasive technique that precludes appendix use |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 05.04.2022 | ||
| 500 | |a Date Revised 20.05.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved. | ||
| 520 | |a INTRODUCTION: Antegrade continence enema (ACE) is recommended for patients with fecal incontinence/constipation refractory to conservative management. The Malone ACE utilizes the appendix as a catheterizable channel whereas the Macedo-Malone (MM) precludes the use of the appendix. We aimed to illustrate the MM procedure | ||
| 520 | |a METHODS: The left colon is brought out through a small transverse incision on the upper left abdomen and a 3-cm transverse flap in a tenia is created. A 12-Fr silicone Foley catheter is placed on the mucosal surface of the flap to allow creating a tubular conduit. After closure of the anterior wall colonic, the continence valve mechanism is produced by embedding the tube over a serous lined tunnel created by interrupted sutures. The distal portion of the tube is anastomosed into a V shape to the skin flap to avoid stoma stenosis | ||
| 520 | |a DISCUSSION: The advantage of this technique is the all-the time availability for not requiring the appendix which some authors prefer to use for urinary reconstruction. In a previous study, we have shown that the MM produces a high rate (89%) of fecal continence (Mean follow-up: 75 months) | ||
| 520 | |a CONCLUSION: We are convinced that this procedure can be incorporated into fecal incontinence/constipation armamentarium | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Constipation | |
| 650 | 4 | |a Fecal incontinence | |
| 650 | 4 | |a MACE | |
| 650 | 4 | |a Macedo-Malone | |
| 650 | 4 | |a Myelomeningocele | |
| 650 | 4 | |a Neurogenic bladder | |
| 700 | 1 | |a Garrone, Gilmar |e verfasserin |4 aut | |
| 700 | 1 | |a Ottoni, Sérgio Leite |e verfasserin |4 aut | |
| 700 | 1 | |a de Mattos, Ricardo Marcondes |e verfasserin |4 aut | |
| 700 | 1 | |a Leal da Cruz, Marcela |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of pediatric urology |d 2005 |g 18(2022), 1 vom: 30. Feb., Seite 98-99 |w (DE-627)NLM17005666X |x 1873-4898 |7 nnns |
| 773 | 1 | 8 | |g volume:18 |g year:2022 |g number:1 |g day:30 |g month:02 |g pages:98-99 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jpurol.2021.12.012 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 18 |j 2022 |e 1 |b 30 |c 02 |h 98-99 | ||