ABSTRACT

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.

part I|58 pages

Anorectal and Cloacal Malformations

chapter Chapter 1|10 pages

Newborn Anorectal Malformations

chapter Chapter 2|4 pages

Predictors of Continence

chapter Chapter 3|10 pages

Operative Decision Making

chapter Chapter 4|10 pages

Operative Techniques

chapter Chapter 6|4 pages

Cloaca

A Cloaca With Hydrocolpos

chapter Chapter 7|2 pages

Postoperative Care of a PSARP Incision

chapter Chapter 8|6 pages

Rare Cases

chapter Chapter 9|4 pages

Anorectal Malformation Myths

part II|30 pages

Hirschsprung Disease

chapter Chapter 10|8 pages

Diagnosis

chapter Chapter 11|10 pages

The Pull-Through

chapter Chapter 12|4 pages

Total Colonic Hirschsprung Disease

chapter Chapter 13|4 pages

Late Diagnosis Hirschsprung Disease

chapter Chapter 14|2 pages

Hirschsprung Disease Myths

part III|60 pages

Functional Constipation and Fecal Incontinence

chapter Chapter 15|2 pages

Bowel Management

chapter Chapter 18|24 pages

Malone Complications and Troubleshooting

chapter Chapter 19|2 pages

Laxatives

chapter Chapter 20|2 pages

Thickening the Stool with Fiber

chapter Chapter 21|2 pages

Bacterial Overgrowth

chapter Chapter 22|4 pages

Sharing Tissues

part IV|38 pages

Post-PSARP and Post-HD Pull-Through Problems

chapter Chapter 24|10 pages

Problems after PSARP

chapter Chapter 26|8 pages

Problems after an HD Pull-Through

part V|32 pages

Miscellaneous Colorectal Topics and Techniques

chapter Chapter 28|10 pages

Operating Room Setup and Positioning

chapter Chapter 29|8 pages

Stomas

chapter Chapter 30|2 pages

Ischiorectal Fat Pad

chapter Chapter 31|10 pages

Miscellaneous Colorectal Conditions