Surgical diagram showing three-step technique for preserving perineal body during PSARP procedure.
Surgical diagram showing three-step technique for preserving perineal body during PSARP procedure.
Surgical diagram showing four-step technique for preserving perineal body during PSARP procedure.
Surgical diagram showing four-step technique for preserving perineal body during PSARP procedure.
Surgical diagram showing five-step technique for preserving perineal body during PSARP procedure.
Surgical diagram showing four-step technique for preserving perineal body during posterior sagittal anorectoplasty.
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  1. Slide 1: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Midline incision through skin only | 2. Blunt dissection lateral to muscle complex | 3. Preserve anterior perineal body attachments | Dr. Sarah Chen, Pediatric Surgery | #ColorectalSurgery #PediatricSurgery
  2. Slide 2: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Midline incision through skin only | 2. Blunt dissection lateral to muscle complex | 3. Preserve anterior perineal body attachments | Key: Avoid cutting through muscle fibers | Maintains sphincter function | Reduces postop complications | #PediatricSurgery #ColorectalSurgery | APSA Educational Series
  3. Slide 3: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Identify midline raphe | 2. Incise skin only | 3. Blunt dissection between muscle complexes | 4. Preserve anterior structures | Key: Maintain tissue planes to avoid injury | #PediatricSurgery #ColorectalSurgery
  4. Slide 4: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Identify midline raphe | 2. Incise skin only | 3. Blunt dissection between muscle complexes | 4. Preserve anterior structures | Key: Maintain tissue planes to avoid injury | #PediatricSurgery #ColorectalSurgery
  5. Slide 5: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Identify midline raphe | 2. Incise skin only | 3. Blunt dissection between muscle complexes | 4. Preserve muscle attachments | 5. Maintain tissue planes | Key Benefits: • Better cosmetic outcome • Preserved sensation • Reduced scarring • Improved continence potential | #PediatricSurgery #ColorectalSurgery
  6. Slide 6: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Identify midline raphe | 2. Incise skin only | 3. Blunt dissection between muscle complexes | 4. Preserve muscle attachments | 5. Maintain tissue planes | Key Benefits: • Better cosmetic outcome • Preserved sensation • Reduced scarring • Improved continence potential | #PediatricSurgery #ColorectalSurgery
  7. Slide 7: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Identify midline raphe | 2. Incise skin only | 3. Blunt dissection between muscle complexes | 4. Preserve muscle attachments | 5. Maintain tissue planes | Key Benefits: • Better cosmetic outcome • Preserved sensation • Reduced scarring • Improved continence potential | #PediatricSurgery #ColorectalSurgery
  8. Slide 8: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Identify midline raphe | 2. Incise skin only | 3. Blunt dissection between muscle complexes | 4. Preserve anterior structures | Key: Maintain tissue planes to avoid injury | #PediatricSurgery #ColorectalSurgery
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Hepatoblastoma: When It Shows Up in Surprising Ways

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Educational carousel exploring unusual clinical presentations of hepatoblastoma, the most common malignant liver tumor in children. Covers atypical manifestations that may delay diagnosis and impact surgical management strategies.

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