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Within the field of pediatric colorectal and pelvic reconstruction, the most complex anatomic problem a pediatric surgeon can face is that of a cloacal malformation. The urinary tract, gynecologic system, and distal bowel all fuse into a single common channel which must be surgically reconstructed. The care of patients with a cloaca is daunting, and the spectrum of anatomic variations very wide. In this book about cloaca, the authors have brought organization to the complex, providing basic principles of care, from fetal and newborn management to the reconstruction of bowel, gynecologic systems, and urinary tracts as well as the care of patients after surgery to puberty and beyond.This is a comprehensive account of all elements of care for the cloaca patient. It includes preoperative evaluation and surgical planning, the anorectal malformation (ARM) index, surgical reconstruction, urological evaluation and long-term care. Also covered are the gynecologic evaluation and intervention, neurological implications, bowel management and the long-term management of patients with cloacal malformations. Case studies provide valuable insights into a wide range of clinical scenarios, never previously categorized so comprehensively. These studies enable the reader to understand and gain experience from detailed descriptions. Fully illustrated, in color, and with further resources available online, this is a unique resource for all clinicians within the pediatric team caring for patients with cloacal malformations.In addition, specialists across numerous fields, including colorectal surgery, urology, gynecology, and gastrointestinal motility, as well as neonatology, orthopedics, neurosurgery, anesthesia, radiology, psychology, social work, nutrition, and nursing, will find this practical clinical text and its online resources to be an invaluable when dealing with the complex needs of the cloaca patient.

This authoritative book explores electrophysiologic testing and therapeutic catheter ablation for cardiac arrhythmias in children, and in patients of all ages with congenital heart disease. It reviews the anatomic and physiologic background to these procedures, emphasizing the tools for mapping and tissue ablation that continue to improve patient outcomes. Additionally, individual chapters are dedicated to specific congenital heart defects (for instance, tetralogy of Fallot, Ebstein's anomaly, univentricular heart) guiding the reader to anticipate the type of arrhythmia, the most likely location for effective ablation, and the technical challenges that may be encountered in each condition.Key Features Provides a detailed review of the unique challenges presented by young patients with small heart size, and patients of any age with distorted anatomy due to congenital heart disease, in this long overdue, updated text Intends to guide all cardiologists engaged in invasive electrophysiology at both the training level and established practice who are exposed to such exceptional cases Includes an internationally recognized group of experts who discuss the technical approaches, success rates, complication rates, and special precautions needed to achieve optimal outcomes

'Anyone practising generalist paediatrics should have the material within these chapters either hard-wired in, or at the fingertips. This book is ideal for the primary care bookshelf...The authors have ensured that clinicians'paediatric knowledge and skills can only grow with familiarity of their material.'From the Foreword by John Spicer Essential Paediatrics in Primary Care covers the entire breadth of paediatric practice. Written by a team with frontline experience of the challenges and dilemmas faced in diagnosing and treating children in primary care, this practical text contains clear, evidence-based guidance about managing children in primary care and considers when referral to hospital is appropriate. The concise, list-based format enables a rapid, confident and knowledgeable diagnosis to be reached in the short time available in general practice. This reference book is invaluable for General Practitioners and GP trainees wanting to keep abreast of recent progress in paediatric care, but is also ideal for nurse practitioners, health visitors, medical students and paediatricians considering a career in general practice.

The fundamental goal of the revised edition of this acclaimed text is to provide comprehensive, practical, and straightforward information about the developing nervous system that is as relevant to those embarking on careers in pediatric neurology as it will be to the experienced practitioner who cares for infants, children, and adolescents. New to this edition are chapters on tumors of the nervous system, autism and related conditions, and practice parameters in child neurology.