20/12/2025
๐ง๐ต๐ฒ ๐ก๐ฒ๐ผ-๐ ๐ฎ๐น๐ผ๐ป๐ฒ (๐ผ๐ฟ ๐ป๐ฒ๐ผ-๐ฎ๐ฝ๐ฝ๐ฒ๐ป๐ฑ๐ถ๐ฐ๐ผ๐๐๐ผ๐บ๐) is a surgical procedure creating a new conduit from the cecum for antegrade continence e***as (ACE), used when the appendix is absent or too short.
In some patients, the appendix has already been used or removed, and to perform an antegrade e***a procedure, we have to create a neo-appendix from a Colonic flap, as shown in the pictures.
Take-home message: Patients with Anorectal Malformation, Hirschsprung disease, and spina bifida should not have their appendix removed unless it is necessary.
In the past, Pediatric Surgeons were taught to remove the appendix whenever entering a childโs abdomen, but this practice is not recommended for children with Colorectal and Urogenital conditions that may need Malone and/or Mitrofanoff in the future.
