Surgical diagram showing four-step technique for preserving perineal body during PSARP procedure.
Surgical diagram showing three steps to preserve perineal body during posterior sagittal anorectoplasty procedure.
Three-step surgical technique diagram showing preservation of perineal body during PSARP procedure.
Surgical technique diagram showing five steps for preserving the perineal body during PSARP procedure.
Surgical diagram showing three steps to preserve perineal body during posterior sagittal anorectoplasty.
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  1. Slide 1: 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
  2. Slide 2: 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
  3. Slide 3: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Identify the perineal body | 2. Dissect laterally to preserve it | 3. Reconstruct midline raphe | Key Benefits: • Better cosmetic outcome • Preserved perineal support • Reduced risk of prolapse | #PediatricSurgery #ColorectalSurgery
  4. Slide 4: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Identify the perineal body | 2. Dissect laterally to preserve it | 3. Reconstruct midline raphe | Key Benefits: • Better cosmetic outcome • Preserved perineal support • Reduced risk of prolapse | #PediatricSurgery #ColorectalSurgery
  5. Slide 5: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Identify midline raphe | 2. Incise skin only | 3. Blunt dissection laterally | 4. Preserve muscle attachments | 5. Maintain tissue planes | Key Benefits: • Better cosmetic outcome • Preserved sensation • Reduced scarring • Improved continence | #PediatricSurgery #ColorectalSurgery
  6. Slide 6: PSARP TECHNICAL PEARLS | Preserving the Perineal Body | 1. Identify the perineal body | 2. Dissect laterally to preserve it | 3. Reconstruct midline raphe | Key Benefits: • Better cosmetic outcome • Preserved perineal support • Reduced risk of prolapse | #PediatricSurgery #ColorectalSurgery
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Chronic Pancreatitis: When Is TPIAT the Operation Left?

Topic overview

Educational carousel exploring total pancreatectomy with islet autotransplantation (TPIAT) as a surgical option for medically refractory chronic pancreatitis in children. Reviews patient selection criteria, surgical technique, and outcomes including pain control and glycemic management after pancreas removal with islet preservation.

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