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.
Pediatric Colorectal Surgery: Fundamentals of surgical preparation. Basic anatomic principles of pediatric colorectal surgery. Normal anatomy of the perineum in a newborn, toddler and adolescent. Anorectal Malformations: The newborn period. Anorectal Malformation. Definitive repair Surgical protocol. Cloaca, important steps and decision making for pre and post definitive repair. Cloaca, definitive repair, surgical protocol. Long term follow- up in Anorectal anomalies: The keys to success. Patient with ARM previously repaired who is not doing well. Hirschsprung Disease: Newborn considerations. Hirschsprung Disease: Definitive repair. Total colonic Hirschsprung: Pre and postoperative care. The post pull through Hirschsprung who is not doing well with obstructive/incontinence symptoms: How to treat?Malone, Neomalone and Cecostomy. Severe Functional constipation. Surgery and GI collaboration. Colonic resection in children with Colonic dysmotility. The importance of Collaboration in pelvic re-construction: how to avoid complications and extra interventions. Bowel Management. Evaluation of continence in patients with HD and ARM: follow up protocols. Burden of Therapy, quality of life, burden of therapy, the parent and patient perspective. Idiopathic rectal prolapse. Minor anal pathology. Congenital familial poliposis. Ulcerative colitis in children. Crohns Disease in children. Indeterminate colitis. Pediatric colorectal surgery in developing countries: Adaptation to the resources available. Tricks. Operative reports of the most common procedures in pediatric colorectal surgery: key steps. Keeping track of operative results and outcomes. Patient Education. Online resources for families. Creating a collaborative program.
Alejandra Vilanova-Sanchez, 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-Sanchez 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.