Percutaneous Cecostomy
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Introduction : Alternatives to a Cecostomy
Alternative techniques to manage bowel / fecal incontinence involve a combination of:
  • diet modification
  • laxatives
  • manual expression   
  • disimpaction
  • bowel training
  • biofeedback
  • suppositories
  • electrostimulation
  • large volume
    retrograde enemas

The surgical alternative for antegrade enema is the Malone Antegrade Colonic Enema (MACE) technique.  In this procedure the appendix is used to form a cutaneous cecostomy for fluid irrigation. This does not preserve the appendix for use in the Mitrofanoff procedure.