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.
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.
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.
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.
Colorectal Quiz Episode 38: Transitional Care in Colorectal Surgery
▶Ep 49 · 4:52
quoteI 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.↗
▶Ep 49 · 4:52
clinicalThe 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.↗
▶Ep 49 · 7:58
clinicalThe 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.↗
▶Ep 49 · 8:36
clinicalRedo PSARP was performed with formal colon prep, preoperative antibiotics continued for a few days, and no diversion.↗
▶Ep 49 · 8:36
quoteWe 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.↗
▶Ep 49 · 9:01
quoteThey, 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.↗
▶Ep 49 · 9:01
clinicalThe 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.↗
▶Ep 49 · 9:18
clinicalPostoperatively, the patient was kept NPO for 5 days then started feeding; everything healed well.↗
▶Ep 49 · 14:26
clinicalThe 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.↗
▶Ep 49 · 21:43
opinionMark 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.↗
▶Ep 49 · 22:29
clinicalPatient 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.↗
▶Ep 49 · 23:12
opinionStructured 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.↗
Colorectal Quiz Episode 38: Transitional Care in Colorectal Surgery
▶Ep 158 · 4:52
quoteI 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.↗
▶Ep 158 · 4:52
clinicalThe 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.↗
▶Ep 158 · 7:58
clinicalThe 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.↗
▶Ep 158 · 8:36
quoteWe 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.↗
▶Ep 158 · 8:36
clinicalRedo PSARP was performed with formal colon prep, preoperative antibiotics continued for a few days, and no diversion.↗
▶Ep 158 · 9:01
clinicalThe 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.↗
▶Ep 158 · 9:01
quoteThey, 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.↗
▶Ep 158 · 9:18
clinicalPostoperatively, the patient was kept NPO for 5 days then started feeding; everything healed well.↗
▶Ep 158 · 14:26
clinicalThe 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.↗
▶Ep 158 · 21:43
opinionMark 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.↗
▶Ep 158 · 22:29
clinicalPatient 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.↗
▶Ep 158 · 23:12
opinionStructured 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.↗
