2021 AMI Online Salon

A New Kind of Rectal Diversion

Project Details

  • Entrant Name:  Mandy Root-Thompson
  • Client: Pediatrics Nationwide
  • Copyright: Mandy Root-Thompson, 2021
  • Medium/software used: Adobe Photoshop
  • Final presentation format: Print
  • Primary Audience: Medical professionals

Project Description

Each issue of Pediatrics Nationwide Magazine has a 2-page spread that features a new surgical technique or research development. This issue featured a new rectal diversion surgical technique developed by Dr. Rama Jayanthi. This approach diverts urine to the rectum, allowing children to void urine without catheterization. A section of small intestine is removed and realigned on a perpendicular axis to disrupt normal peristalsis. The tissue is then folded further to create a pocket and a small channel. The pocket becomes the superior portion of the bladder and a channel-to-large-intestine anastomosis is formed to create a cloaca. The folding of the small intestine to create both the superior portion of the bladder and the needed channel was the most challenging part of the illustration to visualize, and communication of this step is critical. For this series, I decided to go with a simple schematic approach, with color coded lines to describe the folding without accompanying text.