Stuart Hosie

24 statements · 2 topics

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I think the exam is extremely important and in this case, and you can see it on the picture, you can basically see that the anus is too ventrally located and you can see the place where the anus should be.
quote · Anorectal Malformation
The patient's anus was too ventrally located; a dimple posterior to the current anus marked where the anus should be, and electrical stimulation of the external sphincter showed the proper limits.
clinical · Anorectal Malformation

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Stuart's statements about Anorectal Malformation 12 statements

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Colorectal Quiz Episode 38: Transitional Care in Colorectal Surgery

Statement The patient's anus was too ventrally located; a dimple posterior to the current anus marked where the anus should be, and electrical stimulation of the external sphincter showed the proper limits. Open
Quotation I think the exam is extremely important and in this case, and you can see it on the picture, you can basically see that the anus is too ventrally located and you can see the place where the anus should be. Open
Statement The patient learned to manage daily life despite significant incontinence and felt her quality of life was not bad, though she recognized not everything was fine and improvement was possible. Open
Quotation We did a formal colon prep, uh, integrate. She got antibiotics already preoperatively, and we continued them for a few days. We did not divert her, and we did basically redo PAP and we did it together with our general adult surgeons. Open
Statement Redo PSARP was performed with formal colon prep, preoperative antibiotics continued for a few days, and no diversion. Open
Quotation They, they assisted us. They were with us. They have never seen such a procedure, so they were quite amazed, but I think it is very important to show them what type of surgery we usually perform in children and what different anomalies we treat. Open
Statement The redo PSARP was performed collaboratively with adult general surgeons who had never seen such a procedure, providing an opportunity to show them pediatric ARM surgery techniques. Open
Statement Postoperatively, the patient was kept NPO for 5 days then started feeding; everything healed well. Open
Statement The German hospital is a general hospital with both adult and pediatric departments and separate operating theaters; this 27-year-old patient was operated on in the adult OR with adult surgeons and stayed in the adult surgical ward. Open
Statement Mark Malota has seen over 100 adult patients with ARM-related problems in his outpatient clinic, which represents a failure of transition—these are adults who discover problems after many years and seek help; structured transition from childhood into adulthood would solve most problems before they appear. Open
Statement Patient and parent associations are important; Germany has a very active association, as do the US, France, and Italy. Together with interested surgeons, they created a booklet for patients and families documenting all information from the newborn period: surgeries performed, malformations, examinations, and follow-up exams. Open
Statement Structured follow-up is important even though surgeons do not like doing it; if families and patients have all information documented, transition will be much easier. Open
Stuart's statements about Colorectal / ARM & Hirschsprung 12 statements

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Colorectal Quiz Episode 38: Transitional Care in Colorectal Surgery

Quotation I think the exam is extremely important and in this case, and you can see it on the picture, you can basically see that the anus is too ventrally located and you can see the place where the anus should be. Open
Statement The patient's anus was too ventrally located; a dimple posterior to the current anus marked where the anus should be, and electrical stimulation of the external sphincter showed the proper limits. Open
Statement The patient learned to manage daily life despite significant incontinence and felt her quality of life was not bad, though she recognized not everything was fine and improvement was possible. Open
Statement Redo PSARP was performed with formal colon prep, preoperative antibiotics continued for a few days, and no diversion. Open
Quotation We did a formal colon prep, uh, integrate. She got antibiotics already preoperatively, and we continued them for a few days. We did not divert her, and we did basically redo PAP and we did it together with our general adult surgeons. Open
Quotation They, they assisted us. They were with us. They have never seen such a procedure, so they were quite amazed, but I think it is very important to show them what type of surgery we usually perform in children and what different anomalies we treat. Open
Statement The redo PSARP was performed collaboratively with adult general surgeons who had never seen such a procedure, providing an opportunity to show them pediatric ARM surgery techniques. Open
Statement Postoperatively, the patient was kept NPO for 5 days then started feeding; everything healed well. Open
Statement The German hospital is a general hospital with both adult and pediatric departments and separate operating theaters; this 27-year-old patient was operated on in the adult OR with adult surgeons and stayed in the adult surgical ward. Open
Statement Mark Malota has seen over 100 adult patients with ARM-related problems in his outpatient clinic, which represents a failure of transition—these are adults who discover problems after many years and seek help; structured transition from childhood into adulthood would solve most problems before they appear. Open
Statement Patient and parent associations are important; Germany has a very active association, as do the US, France, and Italy. Together with interested surgeons, they created a booklet for patients and families documenting all information from the newborn period: surgeries performed, malformations, examinations, and follow-up exams. Open
Statement Structured follow-up is important even though surgeons do not like doing it; if families and patients have all information documented, transition will be much easier. Open