Pediatric colorectal and pelvic reconstructive surgery / [edited by] Marc A. Levitt, Alejandra Vilanova-Sanchez.

Format:

Book

Contributor:

Levitt, Marc A. (Marc Aaron), 1967- editor.

Vilanova-Sanchez, Alejandra, editor.

Language:

English

Subjects (All):

Pelvis--Surgery.

Pelvis.

Physical Description:

1 online resource (293 pages) : illustrations

Edition:

1st ed.

Place of Publication:

Boca Raton : CRC Press, [2020]

Summary:

"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. 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"-- Provided by publisher.

Contents:

Cover

Half Title

Title Page

Copyright Page

Contents

Editors

Contributors

Where are we in pediatric colorectal and pelvic reconstructive surgery? New insights and the future

1. Pediatric colorectal and reconstructive surgery: Fundamentals of surgical preparation

1.1 Bowel preparation in pediatric colorectal surgery

1.2 Rectal enemas and rectal irrigations

1.3 OR setup for colorectal surgery: How to improve exposure?

References

2. Basic anatomic principles of pediatric colorectal and reconstructive surgery

2.1 Normal anatomy of the perineum in a newborn, toddler, and adolescent

2.2 Technical essentials of pelvic surgery

2.3 Colonic vascularization and its importance in pediatric colorectal surgery

2.4 Sensation of the anal canal

2.5 Ostomy creation

3. Anorectal malformations: The newborn period

3.1 VACTERL association (and syndromes) screening

3.2 Key anatomical findings in the newborn to identify the different types of anorectal malformations

3.3 How to talk with the family-Potential for bowel control: Type of malformation, sacral ratio, and spine status (the ARM continence index)

3.4 How to proceed when there are major co-morbidities-What should the surgeon do first?

3.5 Who needs a colostomy?

4. Anorectal malformation: Definitive repair and surgical protocol

4.1 Preoperative considerations

4.2 Intraoperative considerations

4.3 Follow-up Long term (anal dilations)

Selected references

5. Cloaca: Important steps and decision-making for pre- and post-definitive repair

5.1 Introduction

5.2 Case study

5.3 Postoperative care and follow-up

6. Cloaca: Definitive repair and surgical protocol

6.1 Introduction

6.2 Case study

6.3 Conclusion

References.

7. Long-term urologic and gynecologic follow-up in anorectal anomalies: The keys to success

7.1 Urologic long-term follow-up

7.2 Gynecologic long-term follow-up

Further reading

8. A patient with an anorectal malformation who has been previously repaired and who is "not doing well"

8.1 Case study 1

8.2 Case study 2

8.3 Case study 3

8.4 Case study 4

8.5 Case study 5

8.6 Case study 6

9. Neonatal diagnosis of Hirschsprung disease

9.1 Case study

Suggested references

10. Hirschsprung disease: Definitive repair with transanal pull-through

10.1 Case study 1

10.2 Case study 2

10.3 Case study 3

10.4 Case study 4

10.5 Transanal pull-through

10.6 Transanal pull-through in a child with a preliminary ostomy

11. Total colonic Hirschsprung disease: Ileo-Duhamel

11.1 When to suspect TCA

11.2 Approach to a child struggling with washouts

11.3 Once the stoma is done, what is your next step in management?

11.4 The ileal Duhamel

11.5 What to do if there is an unexpected on table finding

12. Total colonic Hirschsprung: Pre- and postoperative care

12.1 Ileostomy, growth, and high output: What do pediatric surgeons need to know about high output ostomy management?

12.2 TCHD: Hypermotility and diaper dermatitis management before and after the definitive pull-through

12.3 Protocol for TCHD

13. The post pull-through Hirschsprung patient who is not doing well with obstructive or incontinence symptoms

13.1 Case study 1

13.2 Case study 2

13.3 Case study 3

13.4 Conclusions

14. Long-term outcomes of anorectal malformations and Hirschsprung disease

14.1 Case 1: Hirschsprung disease

14.2 Case 2: Hirschsprung disease

14.3 Case 3: Anorectal malformation in males.

14.4 Case 4: Anorectal malformation in females

14.5 Case 5: Anorectal malformation in female with a cloaca

14.6 Conclusions

15. Antegrade access as an adjunct to bowel management: Appendicostomy and neoappendicostomy

15.1 Case study 1

15.2 Case study 2

15.3 Case study 3

15.4 Case study 4

15.5 Technical aspects for the Malone appendicostomy

16. Severe functional constipation: Surgery and gastroenterologic collaboration

16.1 Introduction

16.2 Case study 1

16.3 Case study 2

16.4 Case study 3

16.5 Case study 4

17. Colonic resection in children with colonic dysmotility

17.1 Case study 1

17.2 Case study 2

17.3 Case study 3

17.4 Case study 4

17.5 Case study 5

18. Importance of collaboration in pelvic reconstruction: How to avoid complications and extra interventions

18.1 Case study 1

18.2 Case study 2

18.3 Case study 3

18.4 Case study 4

18.5 Overall teaching points

19. Bowel management

19.1 Bowel management program

19.2 Case study 1

19.3 Case study 2

19.4 Case study 3

19.5 Case study 4

20. Evaluation of continence in children with Hirschsprung disease and anorectal malformation

20.1 Case study 1

20.2 Case study 2

20.3 Case study 3

20.4 Summary (Cases 1-3)

20.5 Case study 4

20.6 Case study 5

21. Minor anal pathology: Rectal prolapse, perianal abscesses, hemorrhoids, anal fissures, and pilonidal disease

21.1 Case study 1

21.2 Case study 2

21.3 Case study 3

21.4 Case study 4

21.5 Case study 5

21.6 Case study 6

21.7 Case study 7

21.8 Case study 8

22. Familial adenomatous polyposis

22.1 Case study 1

22.2 Case study 2

22.3 Case study 3

23. Ulcerative colitis and indeterminate colitis in children

23.1 Case study 1

23.2 Case study 2

23.3 Case study 3

24. Crohn's disease in children

24.1 Case study 1

24.2 Case study 2

24.3 Case study 3

25. Pediatric colorectal surgery in low- and middle-income settings: Adaptation to the resources available

25.1 Case study 1

25.2 Case study 2

25.3 Case study 3

25.4 Case study 4

25.5 Application of general colorectal surgery principles to challenging cases prevalent in the developing world

25.6 Technical aspects: Performing neonatal colostomy under local anesthesia

25.7 Technical aspects: Periumbilical/umbilical approach as alternative to laparoscopic colonic biopsy and proximal colon mobilization for long-segment Hirschsprung disease

25.8 Technical aspects: Ano(recto)plasty

25.9 Perioperative care considerations

25.10 Equipment

26. Transitional care in colorectal and pelvic reconstruction surgery

26.1 Case study 1

26.2 Case study 2

26.3 Case study 3

27. Operative reports of the most common procedures in pediatric colorectal surgery: Key steps

27.1 Laparoscopic-assisted Swenson pull-through for Hirschsprung disease

27.2 Open sigmoid resection for segmental colonic dysmotility

27.3 Laparoscopic sigmoid resection plus Malone

27.4 Laparoscopic Malone

27.5 Neoappendicostomy

27.6 Laparoscopic-assisted posterior sagittal anorectoplasty for anorectal malformation

27.7 Heineke-Mikulicz plasty for skin level stricture after anoplasty

27.8 PSARP recto-vestibular fistula (female)

27.9 PSARP perineal fistula (male)

27.10 Cloaca total urogenital mobilization

27.11 Cloaca PSARVUP: Posterior sagittal anorectovaginourethroplasty

27.12 Transanal Swenson pull-through for Hirschsprung disease.

27.13 Transanal Soave pull-through for Hirschsprung disease

27.14 Open Swenson for TCHD

27.15 Duhamel pull-through for Hirschsprung disease

28. Tracking operative results and outcomes

28.1 Case study 1

28.2 Case study 2

28.3 Case study 3

29. Patient education

29.1 Introduction

29.2 Anorectal malformation

29.3 Hirschsprung disease

29.4 Bowel management

29.5 Surgical antegrade options

29.6 Urology

30. Resources for families and the burden of therapy

30.1 Discussion

30.2 Summary

30.3 Case study 1

31. Creating a collaborative program

31.1 Case 1: Starting a program

31.2 Case 2: Building the team

31.3 Case 3: Building expertise

31.4 Case 4: Advancing the program (iterative improvement)

31.5 Case 5: Data

31.6 Case 6: Infrastructure

31.7 Components of a multidisciplinary pediatric colorectal and pelvic reconstruction program

31.8 Steps for making the business case to the hospital

31.9 Components of a typical week in a current program

Index.

Notes:

Includes index.

Description based on print version record.

ISBN:

0-429-02778-8

0-429-63990-2

9780429027789

OCLC:

1121444823