This volume provides an in-depth analysis of abnormal pelvic anatomy in various forms of anorectal anomalies, often with multiple associations. The anatomy of the pelvis is one of the most complex in the body, and anatomists have provided detailed descriptions of normal anatomy based on cadaver dissections. However, congenital abnormalities present a spectrum of deviations from normal, which can be difficult to perceive with surgical practice alone. The advent of cross-sectional imaging has fortunately provided a powerful tool, allowing clinicians to study these anomalies in depth and on multiple planes.
This volume will be an essential tool to better understand this spectrum of alterations in a critical region of the body, thus helping pediatric surgeons make the correct planning for a solid reconstruction of the abnormality.
Author(s): Amr Abdelhamid Zaki AbouZeid, Shaimaa Abdelsattar Mohammad
Publisher: Springer
Year: 2022
Language: English
Pages: 200
City: Cham
Foreword
Foreword
Preface
Acknowledgment
Contents
Part I: Normal Anatomy of Anorectum
1: Pelvic MRI Anatomy in the Male
1.1 Pelvic MRI Anatomy in the Midsagittal Plane (Figs. 1.1 and 1.2)
1.2 Pelvic MRI Anatomy in the Axial Planes (Figs. 1.3, 1.4, and 1.5)
1.3 Pelvic MRI Anatomy in the Coronal Plane (Fig. 1.6)
References
2: Pelvic MRI Anatomy in the Female
2.1 Pelvic MRI Anatomy in the Midsagittal Plane (Figs. 2.1 and 2.2)
2.2 Pelvic MRI Anatomy in Parasagittal Plane (Fig. 2.3)
2.3 Pelvic MRI Anatomy in the Axial Planes (Figs. 2.4, 2.5, and 2.6)
References
Part II: Anorectal Anomalies in the Male
3: Perineal Fistula/Anus (in the Male)
3.1 Management of Rectoperineal Fistula
References
4: Rectourethral Fistula
4.1 Operative Technique
4.2 Tips and Pitfalls
4.3 Primary PSARP in the Neonatal Period
References
5: Rectovesical Fistula
5.1 Management
References
Part III: Anorectal Anomalies in the Female
6: Perineal Fistula/Anus (in the Female)
6.1 Operative Technique
6.1.1 Limited Sagittal Anorectoplasty
6.1.2 Postoperative Wound Complications
6.1.3 Anal Cut-Back Procedure (Fig. 6.9)
References
7: Vestibular Fistula/Anus
7.1 Operative Technique
References
8: Rectovaginal Fistula
8.1 Operative Technique
References
Part IV: Cloacal Anomalies
9: The Cloaca
9.1 Preoperative Workup
9.2 Classifications of Cloaca
9.3 Operative Management
References
10: Incomplete Cloaca
10.1 Classifications
10.2 Operative Technique
References
11: Posterior Cloaca
11.1 Clinical Picture
11.2 Initial Management
11.3 Preoperative Workup
11.4 Surgical Reconstruction
References
12: Cloaca-Like Anomaly in the Male
12.1 Operative Technique
References
Part V: Uncommon Types and Associated Conditions
13: Imperforate Anus Without Fistula
13.1 Management
13.2 Neonatal PSARP
References
14: Rectal Atresia
14.1 Operative Treatment
References
15: Imperforate Anal Membrane, Anal Stenosis
15.1 Imperforate Anal Membrane
15.2 Anal Stenosis
15.3 Comment
References
16: Congenital Pouch Colon, H-Type Fistula
16.1 Congenital Pouch Colon
16.2 H-Type Fistula
References
17: Currarino Triad/Syndrome
17.1 Surgical Management
References
18: Duplication Anomalies
18.1 First Category
18.2 Second Category
18.3 Third Category
References
19: Conjoined Twins
19.1 Pygopagus Conjoined Twins
19.2 Ischiopagus Conjoined Twins
References
Part VI: Common Associated Anomalies
20: Associated Spinal and Skeletal Anomalies
20.1 Vertebral Anomalies
20.2 Skeletal and Limb Anomalies
References
21: Associated Urinary Tract Anomalies
References
22: Associated Mullerian Duct Anomalies
References
Part VII: Anatomical Derangements Following Surgical Reconstruction of Anorectal Anomalies
23: Anatomical Derangements Following PSARP
23.1 Posterior Misplacement of the Neo-Anus/Rectum (Fig. 23.3)
23.2 Poor Reconstruction of the Pelvic Floor at the Time of Primary Repair (Fig. 23.6)
23.3 Rectal Prolapse
23.4 Acquired/Persistent Rectourethral Fistula (Figs. 23.10 and 23.11)
References
24: Anatomical Derangements Following Limited Ano/Rectoplasties
24.1 Surgical Technique for Reoperation
References
25: Anatomical Derangements Following Abdominal/Laparoscopic Assisted Anorectoplasty
Reference
