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MACE, Malone procedure, ACE procedure, continent appendicostomy, Malone antegrade colonic enema [ edit on Wikidata ] 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 .
English: A. Button device in the cecum via the appendix; B. Close-up view of the appendix, wrapped with cecum, and a tube in the channel C. View of how the device looks connected to the abdominal wall – with catheterization access above and indwelling balloon device below
The Malone antegrade continence enema (MACE), used to treat fecal incontinence, is like the Mitrofanoff procedure as it uses the Mitrofanoff principle and, thus, can be considered an analogous procedure. [8] As fecal and urinary incontinence frequently co-exist, a MACE is often created at the same time as a continent catheterizable urinary ...
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The Malone antegrade continence enema (MACE) is where an appendicostomy is created, i.e. the vermiform appendix is stitched to the abdominal wall to form a stoma. ACE is often necessary in addition to others when FI is complicated by neuropathy and/or an incomplete IAS. Patients may have persistent leakage of fluid per rectum for several hours ...
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