1st Edition
Pediatric Colorectal Conundrums Case Studies: From Fundamental to Advanced
The case-based approach of this innovative and engaging text on pediatric colorectal surgery reflects the experience of contributors from around the world.
Illustrated with numerous images and complemented by online resources, the first section of the text covers the fundamentals of anorectal malformations (ARMs), cloaca, Hirschsprung disease (HD), and functional constipation. The second section includes challenging clinical scenarios and offers alternatives for management and treatment. Quality of life for patients requiring care, and a focus on functional outcomes, are core principles of this resource.
Patients with anorectal malformations, cloaca, Hirschsprung disease, 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 from specialists across numerous fields throughout their lives, which may include colorectal surgery, urology, gynecology, and gastroenterology motility, as well as orthopedics, neurosurgery, physiotherapy, anesthesia, pathology, radiology, psychology, social work, nutrition, and nursing.
PART 1 FUNDAMENTALS
1. Male Anorectal Malformation
1.1 Case 8
1.2 Initial Management and Workup 8
1.3 Surgical Management and Decision Making 8
1.4 Postoperative Care, Management, and Complications 8
1.5 Bowel management 8
2. Female Anorectal Malformation 8
2.1 Case 8
2.2 Initial Management and Workup 8
2.3 Surgical Management and Decision Making 8
2.4 Postoperative Care, Management, and Complications 8
2.5 Bowel Management 8
3. Cloaca 8
3.1 Case 8
3.2 Initial Management and Workup 8
3.3 Surgical Management and Decision Making 8
3.4 Postoperative Care, Management, and Complications 8
3.5 Bowel Management 8
4. Hirschsprung disease 8
4.1 Case 8
4.2 Initial Management and Workup 8
4.3 Surgical Management and Decision Making 19
4.4 Postoperative Care, Management, and Complications 23
5. Functional Constipation 27
5.1 Case 1 27
5.2 Case 2 33
PART 2 DEEPEN YOUR KNOWLEDGE 36
Anorectal Malformation 36
Fundamentals 36
Surgical Approach 59
Primary Anorectal Malformation Cases 79
Cloaca cases 103
Miscellaneous Anorectal Malformations 117
Functional Constipation 128
Fundamentals 128
Complications of Malone appendicostomy 132
Complicated cases of functional constipation 136
Hirschsprung Disease 149
Basics of Hirschsprung Disease 149
Difficult Hirschsprung disease cases 173
Miscellaneous Colorectal Diseases 203
Atresias, duplication, prolapse and volvulus 203
Urogenital sinuses 217
APPENDICES
Available online only, please visit www.Routledge.com/cw/levitt
Appendix A New gynecologic anatomic diagrams
Biography
Marc A. Levitt, MD - Chief, Division of Colorectal and Pelvic Reconstruction, Children’s National Hospital; Professor of Surgery and Pediatrics, The George Washington University School of Medicine, Washington, DC, USA
Hussein Wissanji, MD - Director, Colorectal Centre of Excellence Montreal Children’s Hospital, Assistant Professor of Pediatric Surgery and Surgery, McGill University Faculty of Medicine & Health Sciences, Montreal, QC, Canada
Thomas Xu, MD - Pediatric Colorectal Fellow, Children’s National Hospital, Washington, DC, USA
Filipa Bragança Jalles, MD - Associate Editor, Attending Pediatric Surgeon, Dona Estefânia Hospital, Lisbon, Portugal
