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Malone Continent Appendicostomy

  • Devin R. Halleran
  • Richard J. Wood
  • Marc A. LevittEmail author
Chapter

Abstract

This chapter describes the surgical procedure of a Malone continent appendicostomy performed using the following approaches: open and laparoscopic. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: (1) mobilization of the cecum, (2) plication of the cecum to create a valve mechanism, (3) transection of the distal appendix, (4) anastomosis of the appendix to the skin, and (5) securing of a catheter through the stoma.

Keywords

Pediatric surgery Operative dictation Colorectal Malone Appendicostomy Antegrade enema access Antegrade continence enema (ACE) 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Devin R. Halleran
    • 1
  • Richard J. Wood
    • 1
  • Marc A. Levitt
    • 1
    Email author
  1. 1.Nationwide Children’s Hospital, Center for Colorectal and Pelvic ReconstructionColumbusUSA

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