图书简介
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.
Preface 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 After PSARP 8. Rare Cases 9. Anorectal Malformation Myths Part II: Hirschsprung Disease 10. Diagnosis 11. Pull-through Technique 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 for Antegrade Flushes or Enemas i. Creating the Antegrade Route ii. Managing Malone Complications and Troubleshooting iii. Trouble-shooting the Flush or Enema 18. Laxatives 19. Thickening the Stool with Fiber 20. Bacterial Overgrowth 21. Sharing Tissues 22. Functional Constipation and Fecal Incontinence Myths Part IV: Post-PSARP and Post-HD Pull-Through Problems 23. Problems After PSARP 24. Problems After HD Pull-Through Part V: Miscellaneous Colorectal Topics and Techniques 25. Operating Room Setup and Positioning 26. Stomas 27. Ischiorectal Fat Pad 28. Miscellaneous Colorectal Conditions
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