ABSTRACT
This chapter explains the key principles in the management of complex pediatric colorectal diagnoses. It provides case-based presentations, radiographic images, operative images with multiple choice questions to test knowledge. The chapter presents a case study of a 3-year-old boy who had a previous posterior sagittal anorectoplasty for a rectobulbar fistula. He is having problems with potty training. This patient has failed attempts at potty training and is incontinent of stool. To manage this patient, Redo primary posterior sagittal anorectoplasty to reposition the anus and subsequent bowel management as required. Bowel management with enemas to keep socially clean. Cecostomy for bowel washouts to keep socially clean.
