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.
TABLE OF CONTENTS
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 5|6 pages
Anal Stenosis, Rectal Atresia, and Presacral Mass
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 16|8 pages
Evaluation of Constipation and Surgical Adjuncts
chapter Chapter 17|8 pages
Malone Appendicostomy (Antegrade) or Enemas (Retrograde) For Colonic Cleaning
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
chapter Chapter 23|6 pages
Functional Constipation and Fecal Incontinence Myths
part IV|38 pages
Post-PSARP and Post-HD Pull-Through Problems
chapter Chapter 24|10 pages
Problems after PSARP
chapter Chapter 25|12 pages
Deciding When to do a Redo Procedure in ARM
chapter Chapter 26|8 pages
Problems after an HD Pull-Through
chapter Chapter 27|6 pages
Deciding When to do a Redo Procedure in HD
part V|32 pages
Miscellaneous Colorectal Topics and Techniques