In this episode, Dr. Marc Levitt from Nationwide Children’s Hospital discusses complications of anorectal malformations. This episode is brought to you by the Center for Colorectal and Pelvic Reconstruction at Nationwide Children’s Hospital. Our collaborative team performs more than 1,000 procedures each year for kids from around the world. Visit nationwidechildrens.org/CCPR for more information.
Table of contents:
00:00 – Play from the beginning
02:29 – Missed perineal fistula in a male
04:47 – Does surgical correction of a missed perineal fistula improve constipation?
05:57 – Physical exam for perineal fistula
07:27 – Perineal fistula in a female
09:50 – Anal sphincter stimulation
12:12 – Recto-urethral fistula
13:53 – Missed cloaca
16:42 – Common colostomy problems
17:39 – Incompletely diverting loop colostomy
18:28 – Transverse colostomy
19:14 – Dr Levitt’s preferred colostomy
20:53 – Anoplasty techniques
23:17 – Distal colostogram
26:34 – Identifying the distal rectum
29:54 – PSARP vs laparoscopy
32:50 – Rectal prolapse
35:27 – Perineal body dehiscence
38:31 – Problems with laparoscopy
40:12 – Problems with PSARP
41:36 – Postoperative soiling
44:33 – Redo pull-through
45:44 – Closing remarks
