Full Description
Based on 30 years of experience as a surgeon working in the field of pediatric colorectal and pelvic reconstructive surgery, author Marc Levitt shares the tips and tricks that he has developed to make operations and patient management easier and reproducible. This book teaches these skills to achieve positive results.
Patients with anorectal malformations (ARMs), Hirschsprung disease (HD), fecal incontinence from a variety of conditions, colonic motility disorders, and a myriad of other conditions comprise the field of pediatric colorectal and pelvic reconstruction. Such patients require care throughout their lives from specialists across numerous fields, which may include colorectal surgery, urology, gynecology, and GI motility, as well as specialized nursing, orthopedics, neurosurgery, anesthesia, pathology, radiology, psychology, social work, and nutrition.
Sometimes the field can seem chaotic and unpredictable. Reconstruction requires creativity and at times it feels that artwork is being created during the actual operation with no pre-plan in mind. Marc Levitt and his colleagues have worked very hard to counter that feeling, to be fully prepared, and to develop protocols, techniques, and processes that can be adopted by other clinicians, so that optimal results for patients can be achieved. This book reflects both this experience and this approach.
Contents
Part I: Anorectal and Cloacal Malformations
1. Newborn Anorectal Malformations
2. Predictors of Continence
3. Operative Decision Making
4. Operative Techniques
5. Anal Stenosis, Rectal Atresia, and Presacral Mass
6. Cloaca
7. Postoperative Care of a PSARP Incision
8. Rare Cases
9. Anorectal Malformation Myths
Part II: Hirschsprung Disease
10. Diagnosis
11. Pull-Through
12. Total Colonic Hirschsprung Disease
13. Late Diagnosis Hirschsprung Disease
14. Hirschsprung Disease Myths
Part III: Functional Constipation and Fecal Incontinence
15. Bowel Management
16. Evaluation of Constipation and Surgical Adjuncts
17. Malone Appendicostomy (Antegrade) or Enemas (Retrograde) for Colonic Cleaning
18. Malone Complications and Troubleshooting
19. Laxatives
20. Thickening the Stool with Fiber
21. Bacterial Overgrowth
22. Sharing Tissues
23. Functional Constipation and Fecal Incontinence Myths
Part IV: Post-PSARP and Post-HD Pull-Through Problems
24. Problems after PSARP
25. Deciding When to Do a Redo Procedure in ARM
26. Problems after an HD Pull-Through
27. Deciding When to Do a Redo Procedure in HD
Part V: Miscellaneous Colorectal Topics and Techniques
28. Operating Room Setup and Positioning
29. Stomas
30. Ischiorectal Fat Pad
31. Miscellaneous Colorectal Conditions
