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

Document Type

Journal Article

Publication Date

1-1-2014

Journal

Journal of Pediatric Surgery

Volume

49

Issue

4

DOI

10.1016/j.jpedsurg.2013.12.021

Keywords

Appendicocecostomy; Appendicovesicostomy; Malone antegrade continence enema; Mitrofanoff; Split appendix

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. © 2014 Elsevier Inc.

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