Malone Appendicostomy

• The Mini Ace needs to stay in place for six months after surgery to prevent the channel from closing.
• Keep the site clean using mild soap and water to clean around the Mini Ace site at least once a day.
• Your child can shower, bathe and swim normally with the Mini Ace in place as soon as you return home from the hospital.
• One week after surgery, your child can participate in normal physical activities with the Mini Ace in place.
• You will be given a spare Mini Ace when you leave the hospital. Keep this in a safe place in the event your child loses their Mini Ace!
• If the Mini Ace falls out, do NOT replace it.
  • Contact us immediately so we can help to arrange for a medical professional to insert your spare Mini Ace and confirm correct placement! 

• The Mini Ace falls out.
• There is skin irritation like redness or a hardened area around the site.
• There is fever over 101°F.

Please call us at 202-476-2656 (COLO) or email us.

• Extension tubing for Mini Ace
• Gravity bag or 60 ml Cath-Tip syringe
• Your child’s prescribed flush ingredients (ex. Normal saline and glycerin at prescribed doses)
• Activities to help your child pass the time such as books or games

1. Gather all supplies.
2. Prepare your child’s flush by measuring each ingredient and mixing them in a common container.

If using a gravity bag:

• Make sure the roller-clamp is down on the gravity bag so the fluid does not leak out of the bag.
• Pour the flush into the gravity feeding bag.
• Unroll the clamp slowly to allow the fluid to prime the tubing.
• Once the fluid is at the end of the tip, roll the clamp down again.

If using a 60 ml Cath-Tip syringe:

• Draw up 60 ml of fluid at one time.

1. Have your child sit on the toilet.
2. Attach the extension tubing to the Mini Ace.

If using a gravity bag:

• Attach the end of the gravity bag to the extension tubing on the Mini Ace.
• Unroll the clamp to allow the flush to run through the tubing over 5-10 minutes.

You can control the speed of the flush by rolling the clamp down if your child experiences cramping or discomfort.

• After the flush has completed you may disconnect the extension tubing to the Mini Ace.
• Allow your child to sit on the toilet for their instructed period of time.
• Clean the gravity bag tap water and allow it to air dry before putting it away.

If using a 60 ml Cath-Tip syringe:

• Attach the 60 ml Cath-Tip syringe to the extension tubing on the Mini Ace.
• Slowly and gently push the fluid out of the syringe and into the Mini Ace.
• Continue to refill the syringe and administer the flush until your complete dose has been given.

It should take a total of 5-10 minutes for the entire flush to go in.

• After the entire flush has been administered, disconnect the extension tubing from the Mini Ace.
• Allow your child to sit on the toilet for their instructed period of time.

• Do NOT throw away the enema bag, tubing or catheter. They can be used over and over again.
• Only use tap water to clean the bag.
• Flushes may be changed based on your child’s bowel response.