THE MALONE IN SOCIAL ADAPTATION OF CHILDREN WITH SEVERE FECAL INCONTENENCE

Objective: analysis of self-reported results of the Malone procedure and drawing attention of colorectal surgeons to this method of treatment 23 patients i.e. 17 boys and 6 girls aged 5 to 10 years were treated with a Malone procedure in the department of urology and coloproctology of the Russian Children’s Clinical Hospital from 1998 to 2013. They included 20 children with myelodysplasia who had been operated on for cerebrospinal hernias and 3 patients with anorectal malformations following recurrent proctoplasty with intractable constipation and fecal overflow incontinence. Most patients got a smooth postoperative period. No serious complications were observed. There had been no stool passage from the stoma. 5 patients experienced early complications in the form of swelling of the skin around the stoma. Remote results were assessed in 20 children aged 1-13. Satisfaction of parents and children with Malone antegrade continence enema was rather high. The children felt much more comfortable and mood in the families improved in all observations. Only single episodes of incomplete control of stool passage were reported in patients with digestive disorders and loose stool. Malone procedure is a valuable option of social adaptation in children with severe fecal incontinence which can be successfully used in domestic medical practice.