Split-appendix technique for simultaneous appendicovesicostomy and appendicocecostomy

Brian A. Vanderbrink, Mark P. Cain, Martin Kaefer, Kirstan K. Meldrum, Rosalia Misseri, Richard C. Rink

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: Surgical treatment of urinary and fecal incontinence with appendicocecostomy (AC) and appendicovesicostomy (AV) has high success in achieving continence. Usually, the appendix can only be used for one of these, requiring the second channel to be constructed from alternative tissue. We describe our outcomes using the spilt-appendix technique for simultaneous creation of AC and AV. Methods: We reviewed records for all patients that underwent simultaneous AC and AV from the appendix alone from 1999 to 2009. When anatomy permitted, the appendix was divided into 2. The proximal end was kept in continuity with the cecum for an AC, whereas the distal end was used for AV. The appendiceal length, continence status, and subsequent need for surgical revision were recorded. Results: Of 394 children who underwent reconstructive surgery with a Mitrofanoff channel, 43 patients (11%) used the split-appendix technique. After a mean follow-up of 40 months, 43 of 43 ACs and 41 of 43 AVs are continent. Of the 86, 16 (19%) channels created required surgical revision. Conclusions: The channels created from split-appendix technique have outcomes and revision rates comparable with those of other described techniques. This technique is applicable to a minority of children undergoing continent reconstruction; however, it has the benefit of avoiding a bowel resection and its accompanying risks.

Original languageEnglish
Pages (from-to)259-262
Number of pages4
JournalJournal of Pediatric Surgery
Volume46
Issue number1
DOIs
StatePublished - Jan 2011
Externally publishedYes

Fingerprint

Appendix
Reoperation
Reconstructive Surgical Procedures
Fecal Incontinence
Cecum
Urinary Incontinence
Anatomy

Keywords

  • Appendicocecostomy
  • Appendicovesicostomy
  • Appendix
  • Catheterizable channel
  • Split

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Split-appendix technique for simultaneous appendicovesicostomy and appendicocecostomy. / Vanderbrink, Brian A.; Cain, Mark P.; Kaefer, Martin; Meldrum, Kirstan K.; Misseri, Rosalia; Rink, Richard C.

In: Journal of Pediatric Surgery, Vol. 46, No. 1, 01.2011, p. 259-262.

Research output: Contribution to journalArticle

Vanderbrink, Brian A. ; Cain, Mark P. ; Kaefer, Martin ; Meldrum, Kirstan K. ; Misseri, Rosalia ; Rink, Richard C. / Split-appendix technique for simultaneous appendicovesicostomy and appendicocecostomy. In: Journal of Pediatric Surgery. 2011 ; Vol. 46, No. 1. pp. 259-262.
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