Laparoscopic Colonic Mapping

Abstract

This chapter describes colonic mapping for Hirschsprung’s disease as performed by the following approaches: open (first) and laparoscopic. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in the technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: abdominal access, the biopsy process, and where appropriate, formation of a diverting ileostomy for patients with long-segment Hirschsprung’s disease, patients in whom permanent section histology results are required before proceeding with definitive treatment, or for patients with delayed diagnosis and resulting failure to thrive.