This 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.
Pediatric surgeons worldwide and the teams in which they work will benefit from this well illustrated and comprehensive work.
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 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. Patient with ARM previously repaired who is "not doing well". Neonatal diagnosis of Hirschsprung disease. Hirschsprung disease: Definitive repair. 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 GI 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 HD and ARM. Minor anal pathology: Rectal prolapse, perianal abscesses, hemorrhoids, anal fissures, and pilonidal disease. Familial adenomatous polyposis. Ulcerative colitis in children and indeterminate colitis. 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. Online resources for families: Burden of therapy. Creating a collaborative program.