Access the accompanying videos for this chapter online. Available on ExpertConsult.com . Patients who present with the inability to have voluntary bowel movements include those born with anorectal malformations (ARMs), Hirschsprung disease (HD), spinal anomalies, or severe functional constipation. Some…
Access the accompanying videos for this chapter online. Available on ExpertConsult.com . Appendicitis is the most common pediatric surgical emergency, with nearly 82,000 appendectomies performed in children each year. There has been widespread adoption of laparoscopy by pediatric surgeons, though…
Access the accompanying videos for this chapter online. Available on ExpertConsult.com . Indications for Workup and Operation The primary and most frequent indication for surgical treatment of intussusception is failure of radiologic reduction. If the condition of the patient allows,…
Indications for Workup and Operation Patients with Crohn disease (CD) who have failed to improve with medical therapy and whose symptoms are secondary to a focal area of disease that can be resected should be considered for an operation. The…
Intestinal malrotation refers to abnormal rotation and/or fixation of the midgut. As the intestine re-enters the abdominal cavity during the 8th to 10th gestational week, it undergoes a 270-degree counterclockwise rotation that causes the duodenum to be fixed to the…
Access the accompanying videos for this chapter online. Available on ExpertConsult.com . The first reported case of laparoscopic duodenal atresia repair was in 2001 by Bax et al and was followed by the first significant series in 2002 by Rothenberg. Since…
Access the accompanying videos for this chapter online. Available on ExpertConsult.com . Hypertrophic pyloric stenosis (HPS) is one of the most common surgical diseases in infants. Most infants present between the ages of 2 and 8 weeks with nonbilious projectile…
Access the accompanying videos for this chapter online. Available on ExpertConsult.com . Durable enteral access is a commonly performed operation in pediatric surgery practice today. Methods for gastrostomy include open, percutaneous, endoscopic, and laparoscopic techniques. Laparoscopic gastrostomy in children offers…
Access the accompanying videos for this chapter online. Available on ExpertConsult.com . Achalasia is a rare disorder of esophageal dysmotility in which there is absent or incomplete relaxation of the lower esophageal sphincter (LES) in addition to generalized abnormal peristalsis…
Access the accompanying videos for this chapter online. Available on ExpertConsult.com . Gastroesophageal reflux is a frequently seen condition in infants and children. In fact, in premature and young infants, it can be normal until the lower esophageal sphincter (LES)…