Paediatric Surgery: Clinical Practice in Remote and Rural Settings, and in Tropical Regions

The undertaking of the treatment of an infant born with bladder exstrophy is one of the most weighty responsibilities that can fall upon the shoulders of the reconstructive sur- geon. The modern treatment of a child born with bladder exstrophy began in the mid- 1970's with the widespread application of staged reconstruction. This approach has consistently yielded very good results in several series. However, as in all serious congeni- tal birth defects, there is certainly room for advancement. Issues such as the routine use of osteotomy, timing and type of epispadias repair, combining bladder closure with epispadias repair, the approach to the small bladder, and the management of a failed exstrophy still remain. This National Institute of Health/Na- tional Kidney Foundation/Johns Hopkins-sponsored seminar was an attempt to bring ex- perts in the field of pediatric orthopedic surgery, pediatric urology, pediatric surgery, adult urology, and basic science together to share their experiences in an attempt to foster new clinical and basic science research communications between the participants. If these col- laborations result, then this first international meeting will have been successful. The editors would like to thank all of the contributors for their timely and complete submissions. John P. Gearhart, M.D. Ranjiv Mathews, M.D. vii CONTENTS 1. The Embryology and Epidemiology of Bladder Exstrophy ................. .

Advances and Updates in Fetal and Neonatal Surgery, an Issue of Clinics in Perinatology: Volume 49-4

Mittal, R L

Levitt, Marc A

Levitt, Marc A

<p>Paediatric surgeons who practice in areas where medical resources are stretched over wide geographical areas face a number of challenges. This resource provides an easy and useful guide to help readers understand the essentials of paediatric surgery. Using the authors' own experiences, the text illustrates the different management practices required when dealing with paediatric patients in rural and remote settings.</p> <p>The most frequently encountered fetal, infant and paediatric conditions are reviewed, together with coverage of trauma, burns, urology, thoracic surgery, emergency abdominal surgery, minimally invasive paediatric surgery and problems with external genitalia.</p> <p>This book is intended to be a practical guide for clinicians to the common and important problems seen in paediatric surgery, enabling them to make clinical management plans and ensure effective communication with local teams.</p>