1st Edition

Pediatric Colorectal Surgery
Tips & Tricks

  • Available for pre-order. Item will ship after March 28, 2022
ISBN 9780367693176
March 28, 2022 Forthcoming by CRC Press
184 Pages 174 Color & 62 B/W Illustrations

USD $69.95

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Book Description

Based on 30 years of experience as a surgeon working in the field of pediatric colorectal and pelvic reconstructive surgery, author Marc Levitt shares the tips and tricks that he has developed to make operations and patient management easier and reproducible. This book teaches these skills to achieve positive results.

Patients with anorectal malformations (ARMs), Hirschsprung disease (HD), fecal incontinence from a variety of conditions, colonic motility disorders, and a myriad of other conditions comprise the field of pediatric colorectal and pelvic reconstruction. Such patients require care throughout their lives from specialists across numerous fields, which may include colorectal surgery, urology, gynecology, and GI motility, as well as specialized nursing, orthopedics, neurosurgery, anesthesia, pathology, radiology, psychology, social work, and nutrition.

Sometimes the field can seem chaotic and unpredictable. Reconstruction requires creativity and at times it feels that artwork is being created during the actual operation with no pre-plan in mind. Marc Levitt and his colleagues have worked very hard to counter that feeling, to be fully prepared, and to develop protocols, techniques, and processes that can be adopted by other clinicians, so that optimal results for patients can be achieved. This book reflects both this experience and this approach.

Table of Contents


Part I: Anorectal and Cloacal Malformations

1. Newborn Anorectal Malformations

2. Predictors of Continence

3. Operative Decision Making

4. Operative Techniques

5. Anal Stenosis, Rectal Atresia, and Presacral Mass

6. Cloaca

7. Postoperative Care After PSARP

8. Rare Cases

9. Anorectal Malformation Myths

Part II: Hirschsprung Disease

10. Diagnosis

11. Pull-through Technique

12. Total Colonic Hirschsprung Disease

13. Late Diagnosis Hirschsprung Disease

14. Hirschsprung Disease Myths

Part III: Functional Constipation and Fecal Incontinence

15. Bowel Management

16. Evaluation of Constipation and Surgical Adjuncts

17. Malone Appendicostomy for Antegrade Flushes or Enemas

i. Creating the Antegrade Route

ii. Managing Malone Complications and Troubleshooting

iii. Trouble-shooting the Flush or Enema

18. Laxatives

19. Thickening the Stool with Fiber

20. Bacterial Overgrowth

21. Sharing Tissues

22. Functional Constipation and Fecal Incontinence Myths

Part IV: Post-PSARP and Post-HD Pull-Through Problems

23. Problems After PSARP

24. Problems After HD Pull-Through

Part V: Miscellaneous Colorectal Topics and Techniques

25. Operating Room Setup and Positioning

26. Stomas

27. Ischiorectal Fat Pad

28. Miscellaneous Colorectal Conditions

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Dr Marc Levitt has focused 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 over 75 countries and has performed more than 15,000 pediatric colorectal procedures. He has written three textbooks and this is his fourth, as well as over 300 scientific articles in this subject area. Dr. Levitt received his undergraduate degree from the University of Pennsylvania and his medical degree from the Albert Einstein College of Medicine. He completed his general surgery residency at Mount Sinai Medical Center, a fellowship in Pediatric Colorectal Surgery at Schneider Children’s Hospital and a Pediatric Surgery fellowship at Children’s Hospital of Buffalo. 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 & 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 at George Washington University School of Medicine.