Part One: Overview
1. History of Cloacal Malformations
Tamador Al-Shamaileh, Marc A. Levitt
2. Overview of Cloacal Malformations
Tamador Al-Shamaileh, Andrea T. Badillo, Marc A. Levitt
3. Preoperative Evaluation and Surgical Planning
Tamador Al-Shamaileh, Allison C. Mayhew, Briony K. Varda, Marc A. Levitt
4. The ARM Index
Andrea T. Badillo, Briony K. Varda, Marc A. Levitt
5. Surgical Reconstruction
Tamador Al-Shamaileh, Allison C. Mayhew, Briony K. Varda, Marc A. Levitt
6. Urological Evaluation and Long-Term Management in Cloacal Malformations
Briony K. Varda, Tamador Al-Shamaileh, Marc A. Levitt
7. Gynecologic Evaluation and Intervention in Cloacal Malformations
Allison C. Mayhew
8. Neurosurgical Implications
John Myseros
9. Bowel Management
Kristina Booth, Stephanie Vyrostek, Katie Worst, Marc A. Levitt
10. Long-Term Outcomes of Patients with Cloacal Malformations
Tamador Al-Shamaileh, Briony K. Varda, Marc A. Levitt
Part Two: Case Studies
Case 1 A patient with a prenatal diagnosis of a cloacal malformation
Andrea T. Badillo, Tamador Al-Shamaileh, Briony K. Varda, Marc A. Levitt
Section 1 Total Urogenital Mobilization (TUM)
Case 2 TUM in a patient with a cloacal malformation and borderline common channel and urethral lengths
Laura Tiusaba, Briony K. Varda, Tamador Al-Shamaileh, Marc A. Levitt
Case 3 A patient with a cloacal malformation, a short channel, and a high rectum
Teresa L. Russell, Christina Feng, Tamador Al-Shamaileh, Marc A. Levitt
Case 4 A patient with a cloacal malformation, a short common channel, and a tethered cord
Laura Tiusaba, Briony K. Varda, Tamador Al-Shamaileh, Marc A. Levitt
Section 2 Urogenital (UG) Separation
Case 5 UG Separation vs. TUM in a patient with a borderline cloacal malformation who underwent a UG separation
Teresa L. Russell, Tamador Al-Shamaileh, Marc A. Levitt
Case 6 A patient with a cloacal malformation, a long common channel, and a high rectum
Tamador Al-Shamaileh, Elizaveta Bokova, Marc A. Levitt
Case 7 A patient with a cloacal malformation, a long common channel, and a long urethra
Shimon E. Jacobs, Christina Feng, Tamador Al-Shamaileh, Marc A. Levitt
Case 8 A patient with a cloacal malformation, a short common channel, and a short urethra
Richard J. Wood
Case 9 Laparoscopic approach to a patient with a cloacal malformation
Prathima Nandivada, Erin McNamara, Belinda Dickie
Section 3 Special Cases
Case 10 A patient with a cloacal malformation and a slightly hypospadic urethral meatus (Cloacal type 1)
Tamador Al-Shamaileh, Marc A. Levitt
Case 11 A patient with a cloacal malformation, a rectourethral fistula, and distal vaginal atresia
Teresa L. Russell, Tamador Al-Shamaileh, Allison C. Mayhew, Marc A. Levitt
Case 12 A patient with a cloacal malformation with urethral atresia
Tamador Al-Shamaileh, Elizaveta Bokova, Marc A. Levitt
Case 13 A patient with a posterior cloacal variant: a urogenital sinus with perineal fistula
Shimon E. Jacobs, Tamador Al-Shamaileh, Marc A. Levitt
Case 14 A patient with a cloacal malformation, Mullerian anomalies, and vesicoureteral reflux
Athanasios Tyraskis, Laura Tiusaba, Shimon Jacobs, Allison C. Mayhew, Marc A. Levitt
Case 15 A patient with cloacal exstrophy
Laura Tiusaba, Caitlin Smith, Briony K. Varda
Case 16 Bowel management in a patient with cloacal malformation
Kristina Booth, Stephanie Vyrostek, Katie Worst, Marc A. Levitt
Appendices
Appendix A Treatment Timeline for Patients with Cloacal Malformations
Tamador Al-Shamaileh, Marc A. Levitt
Appendix B Cloacagram
Tamador Al-Shamaileh, Marc A. Levitt
Appendix C Examination Under Anesthesia Sample Operative Note
Tamador Al-Shamaileh, Marc A. Levitt
Appendix D Electrical Stimulation of the Anus
Tamador Al-Shamaileh, Marc A. Levitt
Appendix E Operating Room Preparation
Tamador Al-Shamaileh, Marc A. Levitt
Appendix F Postoperative Care Instructions
Tamador Al-Shamaileh, Marc A. Levitt
Appendix G Applied Anatomy
Teresa L. Russell, Tamador Al-Shamaileh, Marc A. Levitt
Appendix H New Gynecologic Anatomic Diagrams
Allison C. Mayhew
Biography
Marc A. Levitt focuses his career on enhancing the care of children with colorectal and pelvic reconstructive needs. He has cared for children from all 50 of the United States and from over 75 countries and has performed more than 15,000 pediatric colorectal procedures. He has written four textbooks and this is his fifth, as well as over 300 scientific articles in this subject area. His work extends to educating students, surgeons, other medical colleagues, and nurses, as well as developing integrated centers throughout the world to ensure that all children have access to quality colorectal care. He is actively engaged in helping patients, their doctors, and nurses in resource limited locations through the organization Colorectal Team Overseas, www.ctoverseas.org. He is the Chief of the Division of Colorectal and Pelvic Reconstruction at Children’s National Hospital, in Washington DC, a uniquely integrated team of pediatric colorectal surgeons, urologists, gynecologists, gastroenterologists, and nurses and is a Professor of Surgery and Pediatrics at The George Washington University School of Medicine.
Associate Editors
Tamador Al-Shamaileh, MD
Pediatric Surgery Consultant
Assistant Professor, Department of General Surgery, Faculty of Medicine
Mu’tah University, Al-Karak, Jordan
University of Jordan, Amman, Jordan
Andrea T. Badillo, MD
Director, Division of Colorectal and Pelvic Reconstruction, Pediatric Surgeon,
Divisions of Colorectal and Pelvic Reconstruction and General and Thoracic Surgery, and Program Director, Pediatric Colorectal Fellowship, Department of Surgery
Children’s National Hospital, Washington, DC, USA
Associate Professor of Surgery and Pediatrics,
The George Washington University School of Medicine
Allison C. Mayhew, MD
Director, Pediatric and Adolescent Gynecology,
Pediatric and Adolescent Gynecologist,
Division of Colorectal and Pelvic Reconstruction, Department of Surgery
Children’s National Hospital, Washington, DC, USA
Assistant Professor of Gynecology,
The George Washington University School of Medicine
Teresa L. Russell, MS
Senior Clinical Research Coordinator,
Divisions of Urology and Colorectal and Pelvic Reconstruction, Department of Surgery
Children’s National Hospital, Washington, DC, USA
Briony K. Varda, MD, MPH
Co-Director, Children’s National Spina Bifida Program,
Divisions of Urology and Colorectal and Pelvic Reconstruction, Department of Surgery
Children’s National Hospital, Washington, DC, USA
Assistant Professor of Urology and Pediatrics,
The George Washington University School of Medicine
Richard J. Wood, MD
Chief, Department of Pediatric Colorectal and Pelvic Reconstructive Surgery,
Nationwide Children’s Hospital, Columbus, OH, USA
Professor of Surgery,
The Ohio State University, Columbus, OH, USA
This book is a very well-written and extremely important contribution to the care of these patients. Most books cover cloacal malformations as one small part of a chapter on anorectal malformations. This book, dedicated to the most complex of these patients, is the only comprehensive text providing an extensive review of cloacal malformations.
Vincent Adolph, MD Ochsner Clinic Foundation Hospital
This textbook is a compelling resource for all clinicians caring for patients with cloacal malformations… It is the first of its kind to address the full spectrum needs of someone with a cloacal malformation and will help improve and standardize care for this complex patient population no matter where that patient lives in the world.
Children’s National Hospital Washington DC, USA
https://innovationdistrict.childrensnational.org/first-textbook-for-cloacal-malformations-offers-deep-dive-into-care-and-treatment/
