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ABC of Pediatric Surgical ImagingAnorectal Malformation

ABC of Pediatric Surgical Imaging: Anorectal Malformation Surgeon: A. Numanoglu A Anorectal Malformation Radiologist: R. George Clinical Insights What the Surgeon Needs to Know Degree of malformation is a spectrum, At Birth from anal stenosis to extrophy and cloaca. Are there associated defects? Vestibular anus is the most common Vertebral/spinal cord, sacrum lesion in females. Cardiac Recto-urethral fi stula is the commonest Tracheo-oesophageal abnormality in males. Renal The VACTREL syndrome and associated Limb abnormalities need to be excluded. The “level” of the anomaly in relation to Management is based on the relationship the muscle–sphincter complex of the most distal bowel anomaly to the Elective pelvic-fl oor muscle–sphincter complex and the genito-urinary tract. Where does the fi stula open into the genito-urinary tract? In those with colostomy, is the length of bowel distal to mucus fi stula adequate for Warning M pull-through? Anatomy can be complex, and a surgeon should be present during the imaging procedure for operative planning. Controversy Q An invertogram performed 24 h after birth is designed to detect those infants who have no clinical fi stula and who have a rectal stump below the coccyx. It is thought that they can safely undergo a primary surgical correction. AXR – Distal bowel obstruction due http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

ABC of Pediatric Surgical ImagingAnorectal Malformation

Editors: Andronikou, Savvas; Alexander, Angus; Kilborn, Tracy; Millar, Alastair J. W.; Daneman, Alan
Numanoglu, A.; George, R.
Springer Journals — Jan 1, 2010
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Publisher
Springer Berlin Heidelberg
Copyright
© Springer-Verlag Berlin Heidelberg 2010
ISBN
978-3-540-89384-4
Pages
8 –9
DOI
10.1007/978-3-540-89385-1_4
Publisher site
See Chapter on Publisher Site

Abstract

Surgeon: A. Numanoglu A Anorectal Malformation Radiologist: R. George Clinical Insights What the Surgeon Needs to Know Degree of malformation is a spectrum, At Birth from anal stenosis to extrophy and cloaca. Are there associated defects? Vestibular anus is the most common Vertebral/spinal cord, sacrum lesion in females. Cardiac Recto-urethral fi stula is the commonest Tracheo-oesophageal abnormality in males. Renal The VACTREL syndrome and associated Limb abnormalities need to be excluded. The “level” of the anomaly in relation to Management is based on the relationship the muscle–sphincter complex of the most distal bowel anomaly to the Elective pelvic-fl oor muscle–sphincter complex and the genito-urinary tract. Where does the fi stula open into the genito-urinary tract? In those with colostomy, is the length of bowel distal to mucus fi stula adequate for Warning M pull-through? Anatomy can be complex, and a surgeon should be present during the imaging procedure for operative planning. Controversy Q An invertogram performed 24 h after birth is designed to detect those infants who have no clinical fi stula and who have a rectal stump below the coccyx. It is thought that they can safely undergo a primary surgical correction. AXR – Distal bowel obstruction due

Published: Jan 1, 2010

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