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Article: Y-appendicoplasty: a technique to minimize stomal complications in antegrade continence enema

TitleY-appendicoplasty: a technique to minimize stomal complications in antegrade continence enema
Authors
Issue Date1999
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal Of Pediatric Surgery, 1999, v. 34 n. 11, p. 1733-1735 How to Cite?
AbstractPurpose: The Antegrade Continence Enema (Ace) Is An Effective Method Of Treatment Of Fecal Incontinence And Constipation. However, The Original Procedure Described Is Not Easy To Perform And Is Associated With A High Complication Rate, Especially Stomal Stenosis-Necrosis (55%). Even With Introduction Of Orthotopic Appendicostomy, Composite Series Still Report An Incidence Of 30% With Stomal Problems. The Authors Report A Virtually Complication-Free Simple Modification, The Y-Appendicoplasty. Methods: The Base Of The Appendix Is Imbricated Into Cecum By 2 Successive Rows Of Interrupted Seromuscular Stitches. A Small Y-Shaped Incision Is Made On The Abdominal Wall At Mcburney's Point, And 3 Triangular Skin Flaps Are Raised. The Appendix Is Brought Out Of The Skin Incision. The Tip Is Excised, And 3 Vertical Cuts Are Made 120°Apart. The 3 Appendiceal Flaps Thus Created Are Interdigitated With The Skin Flaps Using Interrupted Sutures. Results: Twelve Children Underwent Y-Appendicoplasty And Orthotopic Appendicostomy. Mean Operating Time Was 1 Hour. None Experienced Stomal Complications That Required Intervention. Control Of Fecal Continence With Ace Ranged From Excellent To Good. Conclusion: Y-Appendicoplasty And Orthotopic Appendicostomy Minimizes Complications For Ace And Is Easy To Perform.
Persistent Identifierhttp://hdl.handle.net/10722/83899
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:46:32Z-
dc.date.available2010-09-06T08:46:32Z-
dc.date.issued1999en_HK
dc.identifier.citationJournal Of Pediatric Surgery, 1999, v. 34 n. 11, p. 1733-1735en_US
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83899-
dc.description.abstractPurpose: The Antegrade Continence Enema (Ace) Is An Effective Method Of Treatment Of Fecal Incontinence And Constipation. However, The Original Procedure Described Is Not Easy To Perform And Is Associated With A High Complication Rate, Especially Stomal Stenosis-Necrosis (55%). Even With Introduction Of Orthotopic Appendicostomy, Composite Series Still Report An Incidence Of 30% With Stomal Problems. The Authors Report A Virtually Complication-Free Simple Modification, The Y-Appendicoplasty. Methods: The Base Of The Appendix Is Imbricated Into Cecum By 2 Successive Rows Of Interrupted Seromuscular Stitches. A Small Y-Shaped Incision Is Made On The Abdominal Wall At Mcburney's Point, And 3 Triangular Skin Flaps Are Raised. The Appendix Is Brought Out Of The Skin Incision. The Tip Is Excised, And 3 Vertical Cuts Are Made 120°Apart. The 3 Appendiceal Flaps Thus Created Are Interdigitated With The Skin Flaps Using Interrupted Sutures. Results: Twelve Children Underwent Y-Appendicoplasty And Orthotopic Appendicostomy. Mean Operating Time Was 1 Hour. None Experienced Stomal Complications That Required Intervention. Control Of Fecal Continence With Ace Ranged From Excellent To Good. Conclusion: Y-Appendicoplasty And Orthotopic Appendicostomy Minimizes Complications For Ace And Is Easy To Perform.en_US
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_HK
dc.relation.ispartofJournal of Pediatric Surgeryen_HK
dc.titleY-appendicoplasty: a technique to minimize stomal complications in antegrade continence enemaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=34&spage=1733&epage=1735&date=1999&atitle=Y-appendicoplasty:+a+technique+to+minimize+stomal+complications+in+antegrade+continence+enemaen_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid10591582-
dc.identifier.scopuseid_2-s2.0-0032742879en_US
dc.identifier.hkuros47281en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0032742879&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume34en_US
dc.identifier.issue11en_US
dc.identifier.spage1733en_US
dc.identifier.epage1735en_US
dc.identifier.isiWOS:000083798900035-

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