Related Experiment Videos
The MACE procedure: experience in the United Kingdom
J I Curry1, A Osborne, P S Malone
1Department of Paediatric Urology, Southampton General Hospital, England.
Journal of Pediatric Surgery
|March 3, 1999
Summary
The Malone Antegrade Continence enema (MACE) procedure is effective for treating paediatric faecal incontinence and constipation, with a 79% success rate. Further improvements in patient selection and surgical techniques can enhance outcomes.
Area of Science:
- Paediatric Surgery
- Gastroenterology
- Urology
Background:
- The Malone Antegrade Continence enema (MACE) procedure is increasingly utilized for managing faecal incontinence and constipation in children.
- A survey of British Association of Paediatric Surgeons (BAPS) members was conducted to evaluate the MACE procedure's current use and outcomes.
Purpose of the Study:
- To assess the current practice patterns of the MACE procedure among paediatric surgeons.
- To determine the indications, success rates, and complications associated with the MACE procedure in a paediatric population.
Main Methods:
- A survey was distributed to BAPS members regarding their experience with the MACE procedure.
- Data collected included patient diagnoses, surgical techniques, failure rates, and complications for 300 reported MACE procedures.
Main Results:
- The study analyzed 300 MACE procedures with a mean follow-up of 2.4 years.
- Common diagnoses included spina bifida (108), anorectal anomalies (90), and Hirschsprung's disease (22).
- The overall success rate was 79%, with stomal stenosis being the most frequent complication (30%).
Conclusions:
- The MACE procedure is a valuable surgical option for paediatric patients with faecal incontinence and constipation.
- Optimizing patient selection, refining surgical techniques, and enhancing post-operative management are crucial for improving MACE procedure outcomes.