Anorectal Malformations in Children : Embryology, Diagnosis, Surgical Treatment, Follow-up

Anorectal Malformations in Children represents an international consensus in understanding and treating anorectal malformations. Interesting new topics include tethered cord, vaginal reconstruction, continent catherizable channels, and the impact on family studies by parents' organizations. The book not only carries on from the three previous editions by Douglas Stephens and Durham Smith (1963, 1971, and 1988) but assembles many new aspects in the broad field of anorectal and genitourinary malformations. Special attention is given to the new surgical techniques posterior sagittal anorectal plasty (PSARP), urogenital sinue advancement, and laparoscopy. A CD-ROM showing the laparoscopic pullthrough procedure is included. It also presents for the first time a series of autopsies performed by Stephens in the 1960s in children with imperforate anus, demonstrating the individual histological anatomy of each malformation. The results of an international workshop of 26 international authorities on congenital malformations of the organs of the pelvis and perineum are presented. The new classification proposed at the Krickenberg Conference will enable future studies comparing the types and the results of treatment of anorectal malformations. The book is an invaluable reference for all medical authorities with a special interest in anorectal and genitourinary malformations Front Matter....Pages 1-18 Front Matter....Pages 1-1 ARM – a Historical Overview....Pages 3-15 Genetics of Anorectal Malformations....Pages 17-30 Genetics, Pathogenesis and Epidemiology of Anorectal Malformations and Caudal Regression Syndrome....Pages 31-48 The Embryology of Anorectal Malformations....Pages 49-63 Recent Advances Concerning the Normal and Abnormal Anatomy of the Anus and Rectum....Pages 65-86 Photographic Album of Anorectal Malformations and the Sphincter Muscles....Pages 87-142 Anatomy and Function of the Normal Rectum and Anus....Pages 143-160 Front Matter....Pages 161-161 Incidence and Frequency of Different Types, and Classification of Anorectal Malformations....Pages 163-184 The Clinical Features and Diagnostic Guidelines for Identification of Anorectal Malformations....Pages 185-200 Persistent Cloaca – Clinical Aspects....Pages 201-209 Congenital Pouch Colon....Pages 211-221 Rectal Atresia and Rectal Ectasia....Pages 223-230 Rectal Duplication and Anal Canal Duplication....Pages 231-237 Vesicointestinal Fissure....Pages 239-249 Rare/Regional Variants....Pages 251-262 Nonurologic Anomalies Associated with Anorectal Malformations....Pages 263-268 Urological Problems in Children with Anorectal Malformations....Pages 269-279 Tethered Spinal Cord in Patients with Anorectal Malformations....Pages 281-286 Front Matter....Pages 287-287 Management in the Newborn Period....Pages 289-293 Operative Management of Anomalies in Males....Pages 295-302 Front Matter....Pages 287-287 Operative Management of Anomalies in the Female....Pages 303-305 Treatment of Cloacas....Pages 307-314 Laparoscopy-Assisted Anorectal Pull-Through....Pages 315-318 Complications after the Treatment of Anorectal Malformations and Redo Operations....Pages 319-326 Front Matter....Pages 327-327 Postoperative Pathophysiology of Chronic Constipation and Stool Incontinence....Pages 329-344 Postoperative Electromanometric, Myographic, and Anal Endosonographic Evaluations....Pages 345-349 Scoring Postoperative Results....Pages 351-359 Results Following Treatment of Anorectal Malformations....Pages 361-376 Treatment of Fecal Incontinence....Pages 377-383 Dietary Prevention of Constipation....Pages 385-390 Operations to Improve Continence after Previous Surgery....Pages 391-413 Treatment of Chronic Constipation and Resection of the Inert Rectosigmoid....Pages 415-419 Postoperative Treatment: Multidisciplinary Behavioral Treatment. The Nijmegen Experience....Pages 421-425 Continent Catheterizable Channels....Pages 427-439 Vaginal Reconstruction for Congenital and Acquired Abnormalities....Pages 441-448 Adult Sexual Function after Anorectal Malformation Repair....Pages 449-457 ARM: Aftercare and Impact from the Perspective of the Family....Pages 459-469 Back Matter....Pages 471-480 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. The results of the Krickenberg Conference, 17-20 May 2005, an international workshop of 26 international authorities on congenital malformations of the organs of the pelvis and perineum are presented. Anorectal malformations (ARM) are relatively frequently encountered anomalies that represent an important component of pediatric surgical practice.