Surgery of Pediatric Anorectal Malformations

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The management of babies born without a normal anus and anorectum has been the subject matter of numerous publications over the last 2 centuries. The malformation occurs more commonly in the Indian subcontinent than in other parts of the world. The author's earlier book published 14 years ago was based on a study of 1250 patients with this malformation. Since then another 858 patients have been studied and the advances made in embryogenesis as well as in diagnosis and management have been recorded. The book is targeted at the young surgeon who has to deliver quality care in situations with limited resources.

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Dr K Chatterjee is the father figure of Pediatric Surgery in . He served the , for 32 years; he was its Founder Professor and Head of Pediatric Surgery. He continues to serve the Vivekananda Institute of Medical Sciences, the and the Park Medical Research Society. He has been the Founder Editor in Chief of the Journal of the Indian Association of Pediatric Surgeons from 1995 to 2004 and is now its Emeritus Editor. In addition to his earlier book on Anorectal Malformations he has published over 130 articles and contributed chapters in several national and international texts. In 2004, he was awarded the RK Gandhi Gold Medal of the Indian Association of Pediatric Surgeons. He is an Honorary member of theBritish Association of Pediatric Surgeons, the South African Association of Pediatric Surgeons and the Greek Association of Pediatric Surgeons. He is the first Indian surgeon to have successfully operated upon esophageal atresia in 1964 and to have successfully separated 2 sets of Conjoined Twins in the 1980s. Table Of Contents Evolution Structure and function Classification, diagnosis, imaging Embryology Principles of management Colostomy A visible abnormal opening A manifest invisible opening No manifest opening Two manifest abnormal openings Any of the preceding anomalies with a urogental sinus anomaly, namely cloaca A normal anus with an abnormal anorectum A normal anus and anorectum with a fistula Colonic agenesis, pouch colon, rectal ectasia and shared colon Truncation of the sacrum; tethered cord Results