Description
Book SynopsisThis book provides comprehensive coverage of the anatomical and physiological aspects of complex colorectal and pelvic malformations. Also described are the surgical protocols for this specialized field within pediatric surgery. The benefits of high-level collaboration between surgical services when treating these anomalies are explained, as are treatment algorithms and care of complications.
- Includes evaluation and management of the newborn
- Describes surgical interventions of the newborn, and when a primary repair versus a staged approach is required
- Explains the value of laparoscopy and deciding in which cases to use it
- Looks at the importance of a transition program to adulthood
Pediatric surgeons worldwide and the teams in which they work will benefit from this well illustrated and comprehensive work.
Table of ContentsEditors. Contributors. Where are we in pediatric colorectal and pelvic reconstructive surgery? New insights and the future. Pediatric colorectal and reconstructive surgery: Fundamentals of surgical preparation. Basic anatomic principles of pediatric colorectal and reconstructive surgery. Anorectal malformations: The newborn period. Anorectal malformation: Definitive repair and surgical protocol. Cloaca: Important steps and decision-making for pre- and post-definitive repair. Cloaca: Definitive repair and surgical protocol. Long-term urologic and gynecologic follow-up in anorectal anomalies: The keys to success. A patient with an anorectal malformation who has been previously repaired and who is "not doing well". Neonatal diagnosis of Hirschsprung disease. Hirschsprung disease: Definitive repair with transanal pull-through. Total colonic Hirschsprung disease: Ileo-Duhamel. Total colonic Hirschsprung: Pre- and postoperative care. The post pull-through Hirschsprung patient who is not doing well with obstructive or incontinence symptoms. Long-term outcomes of anorectal malformations and Hirschsprung disease. Antegrade access as an adjunct to bowel management: Appendicostomy and neoappendicostomy. Severe functional constipation: Surgery and gastroenterologic collaboration. Colonic resection in children with colonic dysmotility. Importance of collaboration in pelvic reconstruction: How to avoid complications and extra interventions. Bowel management. Evaluation of continence in children with Hirschsprung disease and anorectal malformation. Minor anal pathology: Rectal prolapse, perianal abscesses, hemorrhoids, anal fissures, and pilonidal disease. Familial adenomatous polyposis. Ulcerative colitis and indeterminate colitis in children. Crohn’s disease in children. Pediatric colorectal surgery in low- and middle-income settings: Adaptation to the resources available. Transitional care in colorectal and pelvic reconstruction surgery. Operative reports of the most common procedures in pediatric colorectal surgery: Key steps. Tracking operative results and outcomes. Patient education. Resources for families and the burden of therapy. Creating a collaborative program. Index.
