title: The Malone Antegrade Continence Enema Procedure, An Indian Perspective.
abstract: 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.
authors.affiliation: Classified Specialist (Surgery and Paediatric Surgery), Command Hospital (Southern Command), Pune - 411 040.
authors.forename: Bipin
authors.initials: B
authors.lastname: Puri
authors.affiliation: Classified Specialist (Surgery and Paediatric Surgery), 166 Military Hospital, C/o 56 APO.
authors.forename: Man Mohan
authors.initials: MM
authors.lastname: Harjai
authors.affiliation: Classified Specialist (Surgery and Paediatric Surgery) Command Hospital (Central Command), Lucknow.
authors.forename: Ravi
authors.initials: R
authors.lastname: Kale
keywords: Bowel incontinence; Malone Antegrade Continence Enema