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Creation of an appendicovesicostomy mitrofanoff from a preexisting appendicocecostomy utilizing the spilt appendix technique

Authors
Journal
Journal of Pediatric Surgery
0022-3468
Publisher
Elsevier
Volume
49
Issue
4
Identifiers
DOI: 10.1016/j.jpedsurg.2013.12.021
Keywords
  • Mitrofanoff
  • Malone Antegrade Continence Enema
  • Appendicovesicostomy
  • Appendicocecostomy
  • Split Appendix
Disciplines
  • Medicine

Abstract

Abstract Continent catheterizable channels have revolutionized reconstructive surgery to achieve both urinary and fecal continence. The Mitrofanoff and Malone antegrade continent catheterizable channels offer improved quality of life relative to permanent incontinent stomas. A frequently employed surgical option for creating a Mitrofanoff when an existing appendicocecostomy exists involves harvesting a separate piece of intestine. If however the Malone has preceded the creation of a Mitrofanoff, we describe a surgical technique that may avoid the need for a bowel harvest and resultant anastomosis. We report our series of patients utilizing a novel alternative strategy in the select clinical circumstance of an existing appendicocecostomy to expand the armamentarium of the urologic reconstructive surgeon.

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