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Ileostomy Reversal for a Two-Stage Laparoscopic Proctocolectomy with Ileoanal J-pouch for Ulcerative Colitis

Derek J. Erstad, MD; Richard Hodin, MD
Department of Surgery, Massachusetts General Hospital

1. Introduction and Surgical Approach

2. Elliptical Incision Around Stoma

3. Release Bowel from Fascia Circumferentially

4. Anastomosis with GIA Stapler

5. Ileostomy Site Resection

6. Reinforcement of Staple Line

7. Closure

  1. Prepare Fascia
  2. Close Fascia
  3. Inject Local Anesthetic
  4. Final Check for Hemostasis
  5. Close Skin