Andrea Bischoff’s Post

Here is our advice: ALWAYS look at the sacrum on abdominal radiographs. Are you operating on a baby with esophageal atresia? Are you seeing the baby because of hydronephrosis and vesico-ureteral reflux? Are you seeing a patient because of constipation? With any of the above and this sacrum, you MUST suspect anorectal malformation (recto-perineal fistula or anal stenosis), if no absent anal opening. More is missed for not looking than for not knowing it. Together we can Improve Colorectal Care Everywhere for Everyone! #ChildrensColo #HereItsDifferent

Thirty percent of patients with anorectal malformations have an associated spinal defect, the most common being hemi-vertebrae. ”Our backs tell stories no books have the spine to carry.” Together we can Improve Colorectal Care Everywhere for Everyone! #ChildrensColo #HereItsDifferent

Can you believe this patient has a Malone (appendicostomy) in his belly button? Unfortunately, not in all patients we have such a good cosmetic result, and not in all patients we can do the operation with such a small incision. Many factors play a role: body habitus of the patient (the thinner the patient the higher the chance of a small incision), characteristics of the belly button, and healing process; which we don’t fully control. #ChildrensColo #HereItsDifferent

Today we would like to welcome Dr. Intezar Ahmed, American College of Surgeons International Guest Scholar, visiting us from India. #globalsurgery #ChildrensColo #HereItsDifferent

We often get questions about our book, unfortunately, we don’t own it, but you can purchase it directly through the Springer website: https://lnkd.in/gFvizSKG or on Amazon. It is a clinically oriented book that will certainly help all of those taking care of children born with congenital colorectal conditions. #pedscolorectal #ChildrensColo #HereItsDifferent

Our latest publication at the Journal of Pediatric Surgery. It makes a financial difference where you get your medication (glycerin, laxatives) for bowel management. #ChildrensColo #HereItsDifferent

Ten years ago, today, we left the NICU after being there for 8 weeks with our twins. Every doctor learns a lot when they experience the other side. For me, I promised never to let my patients perceive that I am in a hurry. Parents wait all day for rounds. Give them time. #ChildrensColo #HereItsDifferent

During a PSARP, remember the message of your car mirror! The urethra in males and the vagina in females are extremely close to the rectal wall. The dissection of the anterior rectal wall should be done very meticulously to avoid injury of the urethra and vagina. #pedscolorectal #pedsurg #anorectalmalformation #imperforateanus #psarp #ChildrensColo #HereItsDifferent

Patients operated for Hirschsprung disease suffering from fecal incontinence DO NOT benefit from Botox anal injection, it only makes them worse. These patients, because they are fecally incontinent, also do not suffer from enterocolitis. Together we can Improve Colorectal Care Everywhere for Everyone! #ChildrensColo #HereItsDifferent