2. MACE is a safe and effective treatment for severe, chronic gastrointestinal problems in persons with SCI where conservative bowel management options are unsuccessful.
Figure 9.The MACE procedure provides a catheterizable channel through which antegrade colonic washout can be performed. Reprinted with permission from Malone PSJ. Malone procedure for antegrade continence enemas. In: Spitz L, and Coran AG, eds. Rob & Smith’s Operative Surgery: Pediatric Surgery. 5th ed. London: Chapman & Hall Medical; 1995:459–467.