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hi Iamp;#39;m annalisa Nash one of the nurse practitioners here at the Centre for colorectal and public reconstruction at Nationwide Childrenamp;#39;s Hospital Iamp;#39;m here with dr. Richard wood we are here to discuss children with a diagnosis of anorectal malformation and how to know if your child has had previous surgery do they need assess or do they potentially need a redo surgery so Richard when you get an inquiry from a patient our family what are the things that you need to know or want to know or looking for when theyamp;#39;re asking you questions or have these concerns that their child may need to be assessed or may need a future surgery yeah at least I think you know from a perspective of needing reupload of surgery I think itamp;#39;s important for us to realize that the majority of kids you have an anorectal malformation repair probably have a really good operation but there are some that we feel we can improve the patientamp;#39;s functional outcome by doing redu