Pediatric Colorectal and Pelvic Reconstructive Surgery  book cover
1st Edition

Pediatric Colorectal and Pelvic Reconstructive Surgery

ISBN 9780367136475
Published March 13, 2020 by CRC Press
292 Pages

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Book Description

This book provides comprehensive coverage of the anatomical and physiological aspects of complex colorectal and pelvic malformations. Also described are the surgical protocols for this specialized field within pediatric surgery. The benefits of high-level collaboration between surgical services when treating these anomalies are explained, as are treatment algorithms and care of complications.

  • Includes evaluation and management of the newborn
  • Describes surgical interventions of the newborn, and when a primary repair versus a staged approach is required 
  • Explains the value of laparoscopy and deciding in which cases to use it 
  • Looks at the importance of a transition program to adulthood

Pediatric surgeons worldwide and the teams in which they work will benefit from this well illustrated and comprehensive work.

Table of Contents



Where are we in pediatric colorectal and pelvic reconstructive surgery? New insights and the future

1. Pediatric colorectal and reconstructive surgery: Fundamentals of surgical preparation

Rebecca M. Rentea and Andrea S. Wagner

2. Basic anatomic principles of pediatric colorectal and reconstructive surgery

Rebecca M. Rentea

3. Anorectal malformations: The newborn period

Sabine Sarnacki, Sebastian King, and Wilfried Krois

4. Anorectal malformation: Definitive repair and surgical protocol

Belinda Dickie, Taiwo Lawal, and Paola Midrio

5. Cloaca: Important steps and decision-making for pre- and post-definitive repair

Richard J. Wood, Ivo de Blaauw, and D. Gregory Bates

6. Cloaca: Definitive repair and surgical protocol

Richard J. Wood, Carlos A. Reck-Burneo, and Marc A. Levitt

7. Long-term urologic and gynecologic follow-up in anorectal anomalies: The keys to success

Geri Hewitt, Daniel G. DaJusta, and Christina B. Ching

8. A patient with an anorectal malformation who has been previously repaired and who is "not doing well"

Victoria Lane and Jeffrey Avansino

9. Neonatal diagnosis of Hirschsprung disease

Martin Lacher and Duarte Vaz Pimentel

10. Hirschsprung disease: Definitive repair with transanal pull-through

Jacob C. Langer, Chris Westgarth-Taylor, Victor Etwire, and Stuart Hosie

11. Total colonic Hirschsprung disease: Ileo-Duhamel

Jonathan H. Sutcliffe, Alejandra Vilanova-Sánchez, and Jacob C. Langer

12. Total colonic Hirschsprung: Pre- and postoperative care

Alejandra Vilanova-Sánchez, Carlos A. Reck-Burneo, and Brenda Ruth

13. The post pull-through Hirschsprung patient who is not doing well with obstructive or incontinence symptoms

Jacob C. Langer and Marc A. Levitt

14. Long-term outcomes of anorectal malformations and Hirschsprung disease

Tomas Wester, Mikko Pakarinen, and Risto Rintala

15. Antegrade access as an adjunct to bowel management: Appendicostomy and neoappendicostomy

Rebecca M. Rentea, Devin R. Halleran, and Alejandra Vilanova-Sánchez

16. Severe functional constipation: Surgery and gastroenterologic collaboration

Peter L. Lu, Desalegn Yacob, and Carlo Di Lorenzo

17. Colonic resection in children with colonic dysmotility

Karen A. Diefenbach, Desalegn Yacob, Rita D. Shelby, and Richard J. Wood

18. Importance of collaboration in pelvic reconstruction: How to avoid complications and extra interventions

Molly E. Fuchs, Kate McCracken, and Daniel G. DaJusta

19. Bowel management

Michael D. Rollins and Onnalisa Nash

20. Evaluation of continence in children with Hirschsprung disease and anorectal malformation

Michael D. Rollins, Richard J. Wood, and Victoria Lane

21. Minor anal pathology: Rectal prolapse, perianal abscesses, hemorrhoids, anal fissures, and pilonidal disease

Caitlin A. Smith, Alessandra C. Gasior, and Devin R. Halleran

22. Familial adenomatous polyposis

Alessandra C. Gasior and Mark Arnold

23. Ulcerative colitis and indeterminate colitis in children

Alessandra C. Gasior and Ross Maltz

24. Crohn’s disease in children

Alessandra C. Gasior and Jennifer L. Dotson

25. Pediatric colorectal surgery in low- and middle-income settings: Adaptation to the resources available

Chris Westgarth-Taylor and Marion Arnold

26. Transitional care in colorectal and pelvic reconstruction surgery

Alessandra C. Gasior

27. Operative reports of the most common procedures in pediatric colorectal surgery: Key steps

Alejandra Vilanova-Sánchez, Giulia Brisighelli, and Carlos A. Reck-Burneo

28. Tracking operative results and outcomes

Laura Weaver and Devin R. Halleran

29. Patient education

Meghan Fisher, Stephanie Vyrostek, and Kristina Booth

30. Resources for families and the burden of therapy

Greg Ryan, Lori Parker, and Sarah Driesbach

31. Creating a collaborative program

Jeffrey Avansino, Robert Dyckes, Dennis Minzler, and Julie Choueiki


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Alejandra Vilanova-Sánchez, MD is a pediatric surgeon currently practicing at the University Hospital La Paz, in Madrid in the Urogenital and Colorectal Unit. After finishing her training she completed a fellowship in Pelvic Reconstrucion Surgery at the Center for Colorectal and Pelvic Reconstruction Nationwide Children’s Hospital, Columbus, Ohio. Her focus was on complex colorectal and pelvic surgery involving the gynecological and urological systems. Dr. Vilanova-Sánchez is a member of the Spanish Association of Pediatric Surgeons, European Pediatric Surgical Association (EUPSA), and ARM-net. She is a frecuent speaker in international meetings and she has organized several national and international meetings in pediatric colorectal. She participates every year in surgical brigades collaborating with nonprofit organizations Colorectal surgeons overseas and  Helping hand in anorectal malformations where she helps patients with colorectal conditions around the world.

Marc A. Levitt, M.D. has focused his clinical and academic career helping patients with complex colorectal and pelvic problems.  He received his undergraduate degree from the University of Pennsylvania, his medical degree from the Albert Einstein College of Medicine, and his surgical training at the Mount Sinai Medical Center in New York and the Children’s Hospital of Buffalo. He is currently director of the Colorectal Center at Nationwide Children’s Hospital, and Professor of Surgery at The Ohio State University. He has delivered more than 400 national/international/ local/regional presentations of his work and has been an invited visiting professor all over the world. He has trained dozens of clinical fellows, research fellows, and students in his career and has directed numerous colorectal training courses attended by established surgeons and surgical trainees from all over the world. He is proud to have been a founding member of the Pediatric Colorectal and Pelvic Learning Consortium, he dedicates much of his free time to mission trips around the world ( where he trains surgeons in complex colorectal surgical techniques.