caa a22 4500 60624736X CHVBK 20210128101344.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0960-y doi (NATIONALLICENCE)springer-10.1007/s12262-013-0960-y Malone Antegrade Continence Enema in Patients with Perineal Colostomy After Rectal Resection [Elektronische Daten] [Jin-Hai Wang, Jia-He Xu, Feng Ye, Xiang-Ming Xu, Jian-Jiang Lin, Wen-Bin Chen] The objective of this study was to evaluate the value of antegrade continence enema (Malone operation) in abdominoperineal resection (Miles' operation). Between January 2008 and May 2009, five cancer patients (two men and three women) underwent abdominoperineal resection and digestive reconstruction by perineal colostomy and Malone antegrade continence enema in our institution. Their functional results and quality of life were recorded. None of the patients died, but two had wound infections and one experienced urinary retention. Patients performed antegrade enema every 24h with 2,000mL of normal saline by themselves. The duration of the enema lasted for an average of approximately 35min, and fecal contamination was not detected at 24h. Patient satisfaction was determined to be 88%. Malone antegrade continence enema associated with abdominoperineal resection and perineal colostomy provided acceptable continence. It preserved the body image of the patients and resulted in a satisfactory quality of life. It is a potential alternative for patients who are not willing to have a permanent colostomy. Association of Surgeons of India, 2013 Rectal cancer nationallicence Malone antegrade continence enema nationallicence Miles operation nationallicence Wang Jin-Hai Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut Xu Jia-He Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut Ye Feng Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut Xu Xiang-Ming Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut Lin Jian-Jiang Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut Chen Wen-Bin Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut Indian Journal of Surgery Springer India 77(2015-12-01), 650-656 0972-2068 77<650 2015 77 12262 https://doi.org/10.1007/s12262-013-0960-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0960-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wang Jin-Hai Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut NATIONALLICENCE 700 1- Xu Jia-He Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut NATIONALLICENCE 700 1- Ye Feng Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut NATIONALLICENCE 700 1- Xu Xiang-Ming Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut NATIONALLICENCE 700 1- Lin Jian-Jiang Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut NATIONALLICENCE 700 1- Chen Wen-Bin Department of Colorectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hangzhou, China aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 650-656 0972-2068 77<650 2015 77 12262