Search results

A 6-year-old boy presents with a groin bulge. You cannot appreciate the bulge in the clinic, but it is a reliable story from mom and the pediatrician. You decide to approach this laparoscopically. When inserting the camera you identify what you think is a femoral hernia. What is the best next...

.

.

.

.

A fourteen year old girl presents to the emergency department with a six month history of chronic, cyclic abdominal pain. She has not yet begun menstruating. She is Tanner Stage 4 with a palpable nontender lower abdominal mass and a bluish-tinged bulge at the introitus. An ultrasound (US)...

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "The ischaemic insult also adversely influences the structure and subsequent function of the remaining bowel. Histological and histochemical abnormalities can be observed up to 20 cm cephalad from the...

.

see video links in subsequent posts

see video link in second post

Correct answer c Posterior rectal advancement anoplasty (PRAA) before discharge Rectoperineal fistulas represent 40% of anorectal malformations. Management has evolved over the last five decades from cutback anoplasty to the minimal posterior sagittal anorectoplasty (PSARP), which more reliably...

A full-term newborn boy is found to have a recto-perineal fistula located at the anterior aspect of the sphincter complex seen below, The strategy most likely to reduce the risk for postoperative perineal dehiscence is a Discharge with daily fistula dilations and minimal posterior sagittal...

.

.

better version

.

A three-year-old boy presents with refractory constipation following an uncomplicated Yancey-Soave endorectal pull-through for Hirschsprung disease. The most common condition requiring redo pull through operation is A twisted pull through. B tight muscular cuff. C anastomotic stricture. D...

.

.

.