Surgical Treatment of Colorectal Problems in Children
This superbly illustrated book on the surgical treatment of pediatric colorectal problems focuses in particular on the specific technical maneuvers that may be considered key to successful results. The presented management concepts are based on retrospect
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Surgical Treatment of Colorectal Problems in Children
Alberto Peña • Andrea Bischoff
Surgical Treatment of Colorectal Problems in Children
Alberto Peña Pediatric Surgery Colorectal Center for Children Cincinnati Children’s Hospital Cincinnati, OH USA
Andrea Bischoff Pediatric Surgery Colorectal Center for Children Cincinnati Children’s Hospital Cincinnati, OH USA
ISBN 978-3-319-14988-2 ISBN 978-3-319-14989-9 DOI 10.1007/978-3-319-14989-9
(eBook)
Library of Congress Control Number: 2015937190 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
To our parents To our children To all children born with congenital anomalies
Foreword I
The care of infants and children with anorectal malformations and disorders has long been an important component of the pediatric surgeon’s practice. Information concerning the recognition and management of these relatively common conditions dates back hundreds of years. Progress during the past half-century due to advances in imaging, both prenatal and postnatal anatomic and embryologic studies, improved detection of associated anomalies, the availability of antibiotics, and improvements in overall care resulted in survival of most of the patients, but the functional outcomes following attempted surgical correction of these conditions were not optimal and remained a challenge. While children’s surgeons worldwide recognized the guarded outcomes particularly related to establishing continence, it was difficult to reach a consensus on classification, type of procedure, and methods to assess outcomes and compare results. Following the early work of Douglas Stephens and Durham Smith, many surgeons were successful in achieving good outcomes for most infants with imperforate anus and a perineal fistula