Pediatric Colorectal and Pelvic Reconstructive Surgery

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.

Editors. Contributors. Where are we in pediatric colorectal and pelvic reconstructive surgery? New insights and the future. Pediatric colorectal and reconstructive surgery: Fundamentals of surgical preparation. Basic anatomic principles of pediatric colorectal and reconstructive surgery. Anorectal malformations: The newborn period. Anorectal malformation: Definitive repair and surgical protocol. Cloaca: Important steps and decision-making for pre- and post-definitive repair. Cloaca: Definitive repair and surgical protocol. Long-term urologic and gynecologic follow-up in anorectal anomalies: The keys to success. A patient with an anorectal malformation who has been previously repaired and who is "not doing well". Neonatal diagnosis of Hirschsprung disease. Hirschsprung disease: Definitive repair with transanal pull-through. Total colonic Hirschsprung disease: Ileo-Duhamel. Total colonic Hirschsprung: Pre- and postoperative care. The post pull-through Hirschsprung patient who is not doing well with obstructive or incontinence symptoms. Long-term outcomes of anorectal malformations and Hirschsprung disease. Antegrade access as an adjunct to bowel management: Appendicostomy and neoappendicostomy. Severe functional constipation: Surgery and gastroenterologic collaboration. Colonic resection in children with colonic dysmotility. Importance of collaboration in pelvic reconstruction: How to avoid complications and extra interventions. Bowel management. Evaluation of continence in children with Hirschsprung disease and anorectal malformation. Minor anal pathology: Rectal prolapse, perianal abscesses, hemorrhoids, anal fissures, and pilonidal disease. Familial adenomatous polyposis. Ulcerative colitis and indeterminate colitis in children. Crohn’s disease in children. Pediatric colorectal surgery in low- and middle-income settings: Adaptation to the resources available. Transitional care in colorectal and pelvic reconstruction surgery. Operative reports of the most common procedures in pediatric colorectal surgery: Key steps. Tracking operative results and outcomes. Patient education. Resources for families and the burden of therapy. Creating a collaborative program. Index.