Cloacal Malformations: Case Studies

Marc A. Levitt focuses 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 from over 75 countries and has performed more than 15,000 pediatric colorectal procedures. He has written four textbooks and this is his fifth, as well as over 300 scientific articles in this subject area. 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 and 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 and Pediatrics at The George Washington University School of Medicine. Associate Editors Tamador Al-Shamaileh, MD Pediatric Surgery Consultant Assistant Professor, Department of General Surgery, Faculty of Medicine Mu’tah University, Al-Karak, Jordan University of Jordan, Amman, Jordan Andrea T. Badillo, MD Director, Division of Colorectal and Pelvic Reconstruction, Pediatric Surgeon, Divisions of Colorectal and Pelvic Reconstruction and General and Thoracic Surgery, and Program Director, Pediatric Colorectal Fellowship, Department of Surgery Children’s National Hospital, Washington, DC, USA Associate Professor of Surgery and Pediatrics, The George Washington University School of Medicine Allison C. Mayhew, MD Director, Pediatric and Adolescent Gynecology, Pediatric and Adolescent Gynecologist, Division of Colorectal and Pelvic Reconstruction, Department of Surgery Children’s National Hospital, Washington, DC, USA Assistant Professor of Gynecology, The George Washington University School of Medicine Teresa L. Russell, MS Senior Clinical Research Coordinator, Divisions of Urology and Colorectal and Pelvic Reconstruction, Department of Surgery Children’s National Hospital, Washington, DC, USA Briony K. Varda, MD, MPH Co-Director, Children’s National Spina Bifida Program, Divisions of Urology and Colorectal and Pelvic Reconstruction, Department of Surgery Children’s National Hospital, Washington, DC, USA Assistant Professor of Urology and Pediatrics, The George Washington University School of Medicine Richard J. Wood, MD Chief, Department of Pediatric Colorectal and Pelvic Reconstructive Surgery, Nationwide Children’s Hospital, Columbus, OH, USA Professor of Surgery, The Ohio State University, Columbus, OH, USA

1. History of Cloacal Care 2. Overview of Cloacal Malformations 3. Preoperative Evaluation and Surgical Planning 4.The ARM Index 5. Surgical Reconstruction 6. Urological Evaluation and Long-Term Management in Cloacal Malformations 7. Gynecologic Evaluation and Intervention in Cloacal Malformations 8. Neurosurgical Implications 9. Bowel Management 10. Long-Term Outcomes of Patients with Cloacal Malformations 11. Cases e.g.Total Urogenital Mobilization (TUM), Urogenital (UG) Separation, Special Cases