Pediatric Urology E-Book

Prasad P. Godbole

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 1124

Veröffentlichungsjahr: 2015

Beschreibung

Pediatric Urology: Surgical Complications and Management, 2nd edition focuses 100% on the most common problems that can occur during pediatric urologic surgery, and how best to resolve them, ensuring the best possible outcome for the patient.

As well as being thoroughly revised with the latest in management guidelines, brand new to this edition are a host of clinical case studies highlighting real-life problems during urologic surgery and the tips and tricks used by the surgeon to resolve issues faced. These will be invaluable for urology trainees learning their trade as well as for those preparing for Board or other specialty exams. Chapters will include problem solving sections as well as key take-home points.

In addition, high-quality teaching videos showing urologic surgery in action will be included via the companion website - again proving an invaluable tool for all those seeking to improve their surgical skills.

Edited by an experienced and international trio of urologists, they will recruit the world’s leading experts, resulting in a uniform, high-quality and evidence-based approach to the topic.

Pediatric Urology: Surgical Complications and Management, 2nd edition is essential reading for all urologists, especially those specialising in pediatric urology and urologic surgery, as well as general surgeons.

Leseprobe

About the companion website

This book is accompanied by a companion website: www.wiley.com/go/wilcox/pediatric

The website includes:

Figures and tables from the book

Supplementary videos

Pediatric Urology

Surgical Complications and Management

EDITED BY

Prasad P. Godbole, FRCS, FRCS(Paeds), FEAPU

Clinical Director Division of Surgery and Critical Care; Consultant Paediatric Urologist Sheffield Children's NHS Foundation Trust Sheffield, UK

Martin A. Koyle, MD, FAAP, FACS, FRCS(Eng), FRCSC

Professor of Surgery University of Toronto; Division Head, Paediatric Urology Women's Auxiliary Chair in Urology and Regenerative Medicine The Hospital for Sick Children Toronto, ON, Canada

Duncan T. Wilcox, MBBS, MD, FEAPU

Ponzio Family Chair in Pediatric Urology; Professor and Chair Department of Pediatric Urology Children's Hospital Colorado Aurora, CO, USA

SECOND EDITION

This edition first published 2015 © 2015 by John Wiley & Sons Ltd.

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Library of Congress Cataloging-in-Publication Data

Pediatric urology (Godbole) Pediatric urology: surgical complications and management / edited by Prasad P. Godbole, Martin A. Koyle, Duncan T. Wilcox. — Second edition. p. ; cm. Includes bibliographical references and index.

ISBN 978-1-118-47331-3 (cloth)

I. Godbole, Prasad P., editor. II. Koyle, Martin A., editor. III. Wilcox, Duncan T., editor. IV. Title. [DNLM: 1. Urologic Diseases – surgery. 2. Urologic Surgical Procedures – adverse effects. 3. Child. 4. Female Urogenital Diseases – surgery. 5. Infant. 6. Intraoperative Complications – prevention & control. 7. Male Urogenital Diseases – surgery. 8. Postoperative Complications – prevention & control. WS 320]

RJ466

618.92'6—dc23

A catalogue record for this book is available from the British Library.

Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.

Cover images: © Christine Glade; © monkeybusinessimages

Contents

Contributors

Preface

Part I: Principles of Surgical Audit

Chapter 1: How to set up prospective surgical audit

Introduction

Why conduct prospective audit?

What data can be used for audit?

Techniques of data collection

Good practice in audit

Arguments against audit

Conclusion

References

Chapter 2: Evaluating personal surgical audit and what to do if your results are not “as expected”

Introduction

Presentation and analysis of data

Dealing with outlying performance

Conclusion

References

Chapter 3: A critical assessment of surgical outcomes

Introduction

Asking focused questions

Finding the evidence

Critical appraisal of the evidence

Are the results of the studies applicable to my patients?

Conclusion

References

Chapter 4: Implications of a poor surgical outcome

Introduction

Disclosure of poor outcome

From the perspective of the patient

From the perspective of the surgeon

From the perspective of the hospital

Conclusion

References

Part II: General Principles

Chapter 5: Endocrine and metabolic response to surgery and its management

Introduction

The endocrine response to surgery

The immune response to surgery

Thermoregulation

The metabolic response to surgery

Perioperative fluid management in children

Factors affecting the endocrine and metabolic response to surgery

References

Chapter 6: Perioperative anesthetic and analgesic risks and complications

Introduction

Gastrointestinal

Respiratory

Cardiovascular

Neurological

Pharmacological

Fluid management

Transfusion

Regional anesthesia

The future

Conclusion

References

Part III: Open Surgery of the Upper Urinary Tract

Chapter 7: Nephrectomy

Introduction

Surgical approaches to the kidney

Surgical approaches in specific situations

Complications

Conclusion

References

Chapter 8: Partial nephrectomy

Indications and evaluation

Procedure

Outcomes

Management and outcomes of the retained ureteral stump

Specific complications of upper-pole heminephrectomy

References

Chapter 9: Ureteropelvic junction obstruction

Surgical techniques

Outcomes

Complications

Conclusion

References

Chapter 10: Complications of antireflux surgery

Introduction

Surgical techniques

Patient selection and timing of surgery

Assessment of outcomes

Factors affecting surgical outcomes

Preventative measures to avoid complications

Risks and complications

Suggested follow-up after surgical correction of VUR

Conclusion

References

Chapter 11: Ureteral surgery: Ureteroureterostomy and transureteroureterostomy

Introduction

Surgical techniques

Outcomes from operations

Complications

Conclusion

References

Part IV: Surgery of the Bladder

Chapter 12: Complications: Epispadias and bladder exstrophy

Introduction

No treatment

Surgical intervention

Early complications

Intermediate outcomes

Late outcomes

Conclusion

References

Chapter 13: Umbilical and urachal anomalies

Introduction

Prevalence

Embryology

Anatomy

Clinical urachal anomalies

Outcomes and complications of urachal anomalies

Diagnosis and management of urachal anomalies

References

Part V: Endoscopic Surgery of the Urinary Tract

Chapter 14: Cystoscopy and cystoscopic interventions

Introduction

Posterior urethral valves

Anterior urethral valves or syringocele

Urethral strictures

Endoscopic management of ureteroceles

JJ stenting for primary obstructive megaureter

Botox

®

injections for neurogenic bladder dysfunction

References

Chapter 15: Interventional procedures of the genitourinary tract

Introduction

Clinical problem/case 15.1

Clinical problem/case 15.2

Clinical problem/case 15.3

Clinical problem/case 15.4

References

Chapter 16: Minimally invasive interventions for stone disease

Introduction

Extracorporeal shock wave lithotripsy

Uretero(reno)scopy

Percutaneous nephrolithotomy

Minimally invasive cystolithotomy

Laparoscopy

Conclusion

References

Chapter 17: General laparoscopy

Introduction

History

Procedure

Complications

Optimizing laparoscopy

Ten golden rules for safe laparoscopy

References

Chapter 18: Complications of laparoscopic surgery of the upper urinary tract

General operative considerations for optimizing execution of laparoscopic surgery

Surgery-specific complications of laparoscopic surgery of the upper tract

Conclusion

References

Chapter 19: Complications of laparoscopic surgery of the lower urinary tract

Introduction

Laparoscopic/robotic ureteral reimplantation

Complicated urachal remnants

Complex lower urinary tract reconstruction (appendicovesicostomy and bladder augmentation)

Conclusion

References

Chapter 20: Complications of robotic surgery of the urinary tract

Introduction

Preoperative complications

Operative complications

Robotic surgery in the management of failed surgery

Conclusion

References

Part VI: Genitalia

Chapter 21: Hernia and hydrocele repair

Introduction

Inguinal hernia repair

Hydrocele repair

Outcomes

Complications and their management

Conclusion

References

Chapter 22: Orchidopexy and orchidectomy

Introduction

Outcomes for orchidopexy

Complications of orchidopexy

Operative considerations

Managing complications of orchidopexy

Orchidectomy

Conclusion

Acknowledgment

References

Chapter 23: Laparoscopic orchiopexy

Case 23.2

Introduction

Terminology

Testicular location

Surgical technique

New technology

Timing of surgery

Outcomes

Complications

Shunt complications

Conclusion

References

Chapter 24: Varicocele

Introduction

Diagnosis

Indications for intervention

Intervention methods and outcomes

Percutaneous embolization/sclerotherapy

Antegrade scrotal sclerotherapy

Subinguinal (microsurgical) ligation

Inguinal ligation

High (suprainguinal, retroperitoneal) ligation

Laparoscopic varicocele ligation

Management and prevention of complications

Conclusion

References

Chapter 25: Complications of newborn circumcision: Prevention, diagnosis and treatment

Introduction

Epidemiology of complications

Prevention of complications

Primary penile abnormalities

Penoscrotal anomalies and distortions

Diagnosis and treatment of complications

Catastrophic complications of circumcision

Conclusion

References

Chapter 26: Surgical complications of hypospadias and their management

Introduction

Key factors predicting hypospadias complications

Prevention and management of urethroplasty complications

Duration of follow-up

Cosmetic results

References

Chapter 27: Phalloplasty for the biological male

Introduction

Phalloplasty

Sexual function

Complications

Experience with phalloplasty in biological males

References

Chapter 28: Complications of female genital surgery and disorders of sex development I

Introduction

Types of surgery

Timing of vaginoplasty

Assessment of outcome

Risks and complications of vaginoplasty

Complications of feminizing genital surgery for ambiguous genitalia

Conclusion

References

Chapter 29: Complications of female genital surgery and disorders of sex development II

Introduction

Clitoroplasty

Labioplasty

Vaginoplasty

References

Chapter 30: Persistent cloaca

Introduction

Diagnosis and early management

Surgery

Outcomes

Renal abnormalities and function

Continence

Gynecological outcome

Conclusion

References

Part VII: Renal Impairment Surgery

Chapter 31: Hemodialysis and peritoneal dialysis

Introduction

Hemodialysis access

Peritoneal dialysis access

Conclusion

References

Chapter 32: Kidney transplantation

Introduction

Urological workup of the recipient

Technique

Outcome

Complications

Preventing and managing complications

Conclusion

References

Part VIII: Urogenital Tumors

Chapter 33: Wilms tumor and other renal tumors

Introduction

Surgical technique: general principles

Complications

Intraoperative complications