When it comes to performing surgery on children with complex anorectal malformations and colorectal conditions, experience is critical. Thousands of children needing specialized reconstructive repair –including families from many different countries around the world - have come to Nationwide Children’s Center for Colorectal and Pelvic Reconstruction (CCPR) because of the unparalleled expertise of its surgical team.
The team is led by internationally-renowned pediatric surgeon Marc Levitt, MD, Surgical Director of the CCPR, and a pioneer in the field of anorectal reconstruction and Hirschsprung Disease for more than two decades. Under his leadership, the CCPR staff creates a personalized treatment plan for each child that addresses specific malformations, future growth considerations and any other health conditions. Special attention is given to post-surgery recovery to help ensure that children regain as much bowel function and control as possible.
For a child with imperforate anus /anorectal malformation, Hirschsprung Disease, cloacal malformation or any other condition that prevents the body from safely eliminating stool, the immediate goal of surgery is to provide a way for the body to pass waste safely and reduce the risk of infection.
In some cases, a single reconstructive surgery can help restore a way for the body to pass waste; however, most complex malformations often times will require a series of surgeries, performed over several months or years, to help normalize bowel function. Depending on the severity of the condition, surgeries can be done within the first few days or weeks of a baby’s life, or can be delayed for several months if necessary.
Here are a few of the surgical procedures that our team regularly performs for the treatment of Hirschsprung disease, imperforate anus/anorectal malformation, cloacal malformation and other colorectal conditions.
Most of the procedures at the Center for Colorectal and Pelvic Reconstruction are done using laparoscopic or “minimally invasive” surgery. With this technique, surgeons don’t have to make large cuts in the body. Instead, the surgeon will make a few tiny cuts in the abdomen, and use specialized cameras and tools to conduct the surgery. Laparoscopy can help reduce pain, healing time and the risk of infection. It is the preferred method of surgery for repairing anorectal malformations and Hirschsprung disease.
If an issue is found, the doctor will do a number of tests to better understand the problems and to develop a long-term plan for the best outcome. For information on diagnostic procedures, click here.
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