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The subject of this book is to improve the treatment of children with anorectal malformations. Since the last edition was published in 1988, the treatment of this frequent disease has changed very much. A new surgical treatment was introduced by Alberto Pena and edited in Atlas of Surgical Management of Anorectal Malformations by Springer in 1965. Many genetic and embryological studies have been performed, which improve our recent knowledge about the etiology and pathogenesis of this malformation. The diagnostic techniques too changed very much. A number of syndroms combined with anorectal…mehr

Produktbeschreibung
The subject of this book is to improve the treatment of children with anorectal malformations. Since the last edition was published in 1988, the treatment of this frequent disease has changed very much. A new surgical treatment was introduced by Alberto Pena and edited in Atlas of Surgical Management of Anorectal Malformations by Springer in 1965. Many genetic and embryological studies have been performed, which improve our recent knowledge about the etiology and pathogenesis of this malformation. The diagnostic techniques too changed very much. A number of syndroms combined with anorectal atresia were detected. In the present book for the first time rules concerning the postoperative; follow up and management will be discussed
The revised 4th edition of this classic textbook represents an international consensus in understanding and treating anorectal malformations. New topics include tethered cord, vaginal reconstruction, continent catheterizable channels, and the impact on family studies by parents' organizations. Special attention is given to new surgical techniques: posterior sagittal anorectal plasty (PSARP), urogenital sinue advancement, and laparoscopy. Includes the results of a recent conference.
Inhaltsangabe
General Aspects: ARM - an Historial Overview.- Genetics of Anorectal Malformations.- Pathogenesis and Epidemiology of Anorectal Malformations and the Caudal Regression Sydrome.- The Embryology of Anorectal Malformations.- Recent Advances Concerning the Normal and Abnormal Anatomy of the Anus and Rectum.- Photographic Album of Anorectal Malformations and Sphincter Muscles.- Anatomy and Function of the Normal Rectum with Special Regard to Surgery and Function.- Clinical Aspects: Incidence, Frequency of Different Types and Classification of Anorectal Malformations.- The Clinical Features and Diagnostic Guidelines for Identification of Anorectal Malformations.- Persistent Cloaca - Clinical Aspects.- Congenital Pouch Colon.- Rectal Atresia and Rectal Ectasis.- Rectal Duplication.- Vesicointestinal Fissure.- Rare/Regional Variants.- Non-urologic Anomalies associated with Anorectal Malformations.- Urological Problems in Children with Anorectal Malformations.- Tethered Spinal Cord in Patients with Anorectal Malformations.- Initial Management: Management in the Newborn Period.- Operative Management of Anomalies in Males.- Operative Management in Females.- Treatment of Cloacas.- Laparoscopic Assisted Anorectal Pull-Through.- Complications after the Treatment of Anorectal Malformations and Redo-operations.- Results and Aftercare: Postoperative Pathophysiology of Chronic Constipation and Stool Incontinence.- Postoperative Electromanometric and Myographic and Anal Endosonographic Evaluations.- Scoring of Postoperative Results.- Results Following the Treatment of Anorectal Malformations.- Treatment of Fecal Incontinence.- Dietary Prevention and Constipation.- Operations to improve Continence after Previous Surgery.- Treatment of Chronic Constipation and Resection of the Inert Rectosigmoid.- Postoperative Treatment: Multidisciplinary Behavioural Treatment: The Nijmegen Experience.- Continent Catherizable Channels (CCC).- Vaginal Reconstruction of Congenital and Acquired