Surgical Procedures

Colorectal Surgery for Complex Conditions

Our pediatric surgeons perform more than 800 colorectal surgeries each year – more than at any other center in the world. They are among a very few in the country to perform complex reconstructive procedures, including the posterior sagittal anorectoplasty (PSARP), or pull-through procedure, which was pioneered by our founding director, Alberto Peña, MD.

Colorectal surgeons at Cincinnati Children’s have performed more than 5,000 pull-through procedures here and at other hospitals around the world. Variations of the pull-through procedure are now used in the treatment of Hirschsprung disease, gynecologic and urologic conditions, pelvic tumors and other colorectal disorders. Compared to other “open” surgical techniques, these procedures provide greater surgical accuracy, minimize damage to surrounding anatomical structures, reduce post-surgical pain and improve outcomes.

Our team performs many other colorectal procedures, such as:

If your child needs multiple surgeries, our team will work together across all specialties with the goal of performing the surgeries during one trip to the operating room, under one anesthesia. This can enhance patient safety and minimize costs as well.

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Director of the Peña Colorectal Center, Jason Frischer, MD (far right) leads a recent surgery.
Director of the Colorectal Center, Jason Frischer, MD (far right) leads a recent surgery.

J-Pouch Reconstruction

"J-Pouch" is a surgical treatment for patients of all ages with ulcerative colitis (UC) or Familial adenomatous polyposis (FAP).