Completion Proctectomy and Ileal Pouch-Anal Anastomosis, Diverting Loop Ileostomy

Abstract

This chapter describes the surgical procedure for completion proctectomy, ileal pouch-anal anastomosis, diverting loop ileostomy as performed by the following approaches: open and laparoscopic. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: exposure, pelvic dissection, J-pouch creation, anastomosis, and formation of a diverting loop ileostomy.