About The Book

No other atlas presents pediatric urologic surgery with such care, attention to detail, and respect for the subject. Revised to include a new co-author and new illustrations, this new edition supplements comprehensive, step-by-step coverage of every procedure with the commentary of leading urologists. Over 60 new procedures present the latest advances in pediatric urologic surgery. Clear writing and detailed illustrations make this atlas ideal for both new and experienced surgeons.

• Depicts surgery as it is actually performed with beautiful illustrations that illuminate every step in each procedure.
• Follows a surgeon’s approach to technique, providing step-by-step instructions so you understand key anatomy and events during surgery.
• Includes every procedure you might encounter in clinical practice for comprehensive coverage.

• Features a new co-author and new commentators-the most important names in urology-for expert guidance and a fresh understanding of the subject.
• Covers over 60 new procedures, including laparoscopic varicocele ligation, incision of the urethral plate, ileovesicostomy, laparoscopic orchiectomy, and cloacal exstrophy, to help you provide the best outcomes for pediatric patients.


Table of Contents

I. PREPARATION FOR PEDIATRIC OPERATIONS 1. Preoperative Evaluation 2. Preparation for Surgery

II. OPERATING ON NEONATES, INFANTSM AND CHILDREN 3. Intraoperative Monitoring 4. Operative Management 5. Post-Operative Care and Pain Management 6. Perioperative Techniques 7. Laparoscopic Techniques In Children

III. KIDNEYPart I: Surgical Approaches 8. Selection of the Incision 9. Anterior Subcostal Incision 10. Anterior Transverse (Chevron) Incision 11. Midline Transperitoneal Incision 12. Subcostal Incision 13. Transcostal Incision 14. Supracostal Incision 15. Dorsal Lumbotomy 16. Repair of Pleural Tear 17. Splenorrhaphy and Splenectomy 18. Repair of Flank Incisional Hernia 19. Laparascopic Renal Surgery Part II: Kidney Reconstruction 20. Introduction to Kidney Reconstruction 21. Pyeloureteroplasty 22. Nephrostomy 23. Ureterostomy In Situ 24. Open Renal Biopsy 25. Repair of Renal Injuries 26. Simple Nephrectomy 27. Partial Nephrectomy 28. Pediatric Heminephrectomy 29. Radical Nephrectomy 30. Excision of Wilms’ Tumor 31. Renal Transplant Recipient 32. Living Donor Nephrectomy


IV. ADRENAL GLAND 33. Preparation and Approaches to Adrenal Surgery 34. Surgical Approaches to the Adrenals 35. Excision of Neuroblastoma

V. URETERPart I: Ureteroneocystostomy 36. Introduction to Ureteroneocystostomy 37. Transvesical Advancement Technique 38. Distal Tunnel Reimplantation 39. Transtrigonal Technique 40. Sheath Approximation Technique 41. Extravesical Trough Technique 42. Detrusorrhaphy (Modifications Of The Lich-Gregoir Technique) 43. Laparoscopic Extravesical Ureteroneocystostomy (Lich-Gregoir Adaptation) 44. External Tunnel Method 45. Revision Transplant Ureter 46. Endoscopic Reflux Correction 47. Ureteroneocystostomy With Tailoring 48. Ureteral Tailoring (Folding) Technique Part II: Operations for Ureteral Duplication 49. Ureteroneocystostomy for Duplicated Ureters 50. Ureteroureterostomy For Duplicated Ureters 51. Ureteropyelostomy 52. Transureteroureterostomy 53. Transureteroureterostomy With Cutaneous Stoma 54. Calycoureterostomy 55. Ileal Ureteral Replacement 56. Ureterocele Repair 57. Endoscopic Ureterocele Decompression 58. Psoas

Hitch Procedure 59. Bladder Flap Repair 60. Renal Autotransplantation 61. Ventriculo-Ureteral Shunt

VI. BLADDERPart I: Approaches to the Bladder 62. Lower Midline Extraperitoneal Incision 63. Lower Abdominal Transverse Incision 64. Gibson Incision 65. Mobilization Of The Omentum 66. Posterior Midline Approach to the Bladder Neck Part II: Bladder Reconstruction 67. Pubovaginal Sling 68. Trigonal Tubularization 69. Vesical Neck Tubularization 70. Intravesical Urethral Lengthening 71. Bladder Neck Wraps 72. Insertion Of Artificial Sphincter 73. Closure of Vesical Neck 74. Vesical Exstrophy Primary Complete Closure 75. Modern Staged Reconstruction for Vesical Exstrophy 76. Plastic Correction Of Exstrophy Suprapubic Defect 77. Umbilicoplasty 78. Cloacal Repair 79. Cloacal Exstrophy 80. Prune Belly Syndrome- Reduction Cystoplasty, Abdominal Repair and Umbilicoplasty 81. Closure of Rectourethral Fistula 82. Excision of Urachus Part III: Noncontinent Urinary Diversion 83. Introduction to Noncontinent Diversion 84. Suprapubic Cystostomy 85. Pediatric Vesicostomy 86. Fetal Intervention Vesico-Amniotic Shunt 87. Cutaneous Ureterostomy, Transureteroureterostomy and Pyelostomy 88. Transverse Colon Conduit 89. Ureteroileostomy (Ileal Conduit) Part IV: Catheterizable Continent Channels 90. Introduction to Catheterizable Channels 91. Appendicovesicostomy 92. Ileovesicostomy 93. Continent Vesicostomy 94. Malone Antegrade Continence Enema (MACE) 95. Colon Flap Continence Channel Part V: Bladder Augmentation 96. Introduction to Bladder Augmentation 97. Ileocystoplasty 98. T-Pouch Hemikock 99. Colocystoplasty and Sigmoidcystoplasty 100. Gastrocystoplasty 101. Ureterocystoplasty 102. Autoaugmentation Part VI: Continent Urinary Diversion 103. Introduction to Continent Urinary Diversion 104. Ileal Cecal Colonic Reservoir 105. Ileal Reservoir with Ileal Catherterizable Channel 106. Ureterosigmoidostomy


VII. TESTES AND GROINPart I: Testes Reconstruction 107. Testis Biopsy 108. Inguinal Orchiopexy, Open Technique 109. Scrotal Orchiopexy 110. Orchiopexy for Abdominal Testes 111. High Ligation Orchiopexy 112. Low Ligation Orchiopexy 113. Redo Orchiopexy 114. Microvascular Orchiopexy 115. Laparoscopic Orchiopexy Techniques Part II: Testis Exclusion 116. Simple Orchiectomy 117. Laparoscopic Orchiectomy 118. Radical Orchiectomy 119. Reduction of Testicular Torsion 120. Repair Of Testicular Injury 121. Insertion of Testicular Prothesis Part III: Groin Reconstruction 122. Inguinal Hernia Repair 123. Correction of Hydrocele 124. Introduction to Vaticocele Ligation 125. Subinguinal Varicocelectomy 126. Varicocele Ligation Abdominal and Inguinal 127. Varicocele Laparascopic

VIII. PENIS, URETHRA, AND GENITALIAPart I: Principles of Hypospadias Repair 128. Introduction to Hypospadias Repair 129. Vascularized Pedicle Flaps 130. Bladder Epithelial Grafts 131. Buccal Mucosal Graft 132. Preputial Skin Graft 133. Penile Curvature 134. Dorsal Tunica Albuginea Plication (TAP Procedure) and Elliptical Excision Technique 135. Dermal Graft 136. Glansplasty 137. Skin Coverage Part II: Hypospadias Operations 138. Meatoplasty and Glanuloplasty (MAGPI Repair) 139. Glans Approximation Procedure (GAP) 140. Pyramid Procedure for Repair of the Megameatus – Intact Prepuce Hypospadias Variant 141. Perimeatal-Based Flap Repair 142. Balanitic Groove Hypospadias Repair 143. Transverse Preputial Onlay Island Flap 144. Tubularized Plate Urethroplasty 145. Incision of the Urethral Plate 146. Tranverse Tubularized Preputial Island Flap 147. Onlay Urethroplasty with Parameatal Foreskin Flap 148. Free Tube Graft 149. Two-Stage Primary Skin Repair 150. Two-Stage Revision Buccal Mucosa Hypospadias Repair 151. Penoscrotal Transposition Repair 152. Foreskin Preservation 153. Closure Of Urethrocutaneous Fistula 154. Excision of Male Urethral Diverticulum Part III: Penile Reconstruction 155. Meatotomy 156. Circumcision 157. Repair of Circumcision Injuries 158. Concealed (Buried) and Webbed Penis 159. Penile Torsion 160. Epispadias Repair: Penile Disassembly 161. Epispadias Repair Part IV: Genital Repair 162. Genital Repair In Patients With Disorders Of Sex Development 163. Vaginoplasty 164. Vaginoplasty Using Urogenital Sinus 165. Clitoroplasty 166. Vaginal Reconstruction: Skin Inlay 167. Sigmoid Vaginal Reconstruction 168. Thigh Flap Vagina and Tissue Expansion 169. Repair of Penile Injuries 170. Construction of the Penis A. After Pubertal B. Phalloplasty In Infants 171. Female Urethrovaginal Fistula 172. Female Urethral Construction 173. Urethral Prolapse Part V: Urethral 174. Posterior Urethral Valves 175. Excision of Utricular (Mullerian Duct) Cyst

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