Puri Bipin, Harjai Man Mohan, Kale Ravi
Classified Specialist (Surgery and Paediatric Surgery), Command Hospital (Southern Command), Pune - 411 040.
Classified Specialist (Surgery and Paediatric Surgery), 166 Military Hospital, C/o 56 APO.
Med J Armed Forces India. 2002 Jul;58(3):214-6. doi: 10.1016/S0377-1237(02)80132-0. Epub 2011 Jul 21.
Eight patients with bowel incontinence underwent an open Malone Antegrade Continence Enema (MACE) procedure between May 1997 to May 2000. Indications for the procedure included high anorectal malformation in 3, bowel dysmotility in 1. spinal dysraphism in 3 and presacral teratoma in 1. Age at presentation varied between 06 to 12 years. All but one patient claimed excellent results. Complications of the procedure included stomal stenosis in 1, stomal leak in 2 and inadequate emptying of effluent in 1. Patient selection was the key to success. All patients except one, were children who were literate and had access to a western toilet Whereas, for the vast majority in the Indian rural setting, the procedure may not be beneficial but for a select group of bowel incontinence children, this procedure may bring a dawn of hope.
1997年5月至2000年5月期间，8例大便失禁患者接受了开放式马龙顺行性灌肠（MACE）手术。该手术的适应症包括3例高位肛门直肠畸形、1例肠道运动障碍、3例脊柱裂和1例骶前畸胎瘤。就诊时的年龄在6至12岁之间。除1例患者外，所有患者均声称效果极佳。该手术的并发症包括1例造口狭窄、2例造口渗漏和1例引流物排空不充分。患者的选择是成功的关键。除1例患者外，所有患者均为识字且能使用西式马桶的儿童。然而，对于印度农村地区的绝大多数人来说，该手术可能并无益处，但对于一小部分大便失禁儿童来说，此手术可能带来希望的曙光。
