1st Edition

Pediatric Colorectal and Pelvic Reconstructive Surgery

Edited By Alejandra Vilanova-Sanchez, Marc A. Levitt Copyright 2020
    292 Pages
    by CRC Press

    292 Pages
    by CRC Press

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    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.



    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



    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 (www.ctoverseas.org) where he trains surgeons in complex colorectal surgical techniques.