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Anales de la Facultad de Medicina

On-line version ISSN 2301-1254


CARRO, Gabriela  and  SALSAMENDI, José. Laparoscopic malone procedure in pediatrics: first cases in Uruguay. Anfamed [online]. 2022, vol.9, n.2, e405.  Epub Dec 01, 2022. ISSN 2301-1254.

The appendicostomy procedure for performing antegrade enemas has been published several years ago for the treatment of fecal incontinence and constipation that are very difficult to manage. The Malone procedure is performed in our setting, especially in patients with fecal incontinence secondary to neurological disorders such as myelomeningocele using a conventional approach. Other indications of it is severe constipation, in which pharmacological measures have been exhausted and the only effective treatment is enemas. The main objective of the procedure is to offer children and their families an alternative when performing enemas, achieving greater adherence to treatment and seeking to achieve a better quality of life that allows them to adapt to the activities of their peers. On the other hand, it allows the child to achieve a certain gradual independence as they grow, preparing them for the future and making them active participants in their care.

The first cases in which we use the laparoscopic approach, its indications, the surgical technique and the initial results are described. We think that its main advantage is the benefits of the minimally invasive approach, such as complete exploration of the abdominal cavity, less postoperative pain, smaller scars, and less creation of adhesions.

Keywords : Constipation; incontinence; antegrade enema.

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