TY - CHAP M1 - Book, Section TI - Laparoscopic Proctectomy and Creation of Ileal Pouch Anal Anastomosis A1 - Mishra, Nitin A1 - Saleem, Abdulaziz M. PY - 2024 T2 - Handbook of Minimally Invasive Colorectal Surgery AB - Ileal pouch anal anastomosis (IPAA) is the procedure of choice for restorative proctocolectomy. It is most commonly performed in cases of ulcerative colitis (UC) or familial adenomatous polyposis (FAP). In UC, the operation is often done in three stages, where the first operation will be the total abdominal colectomy with end ileostomy in patients who have severe disease, are malnourished, or are on a high dose of steroids or biologics. The second stage is done four to six months after the first operation. This allows the patient to recover from the first operation, regain their nutritional status, and stop the biologics and steroids. The second stage includes proctectomy, with the creation of the IPAA, and creation of the diverting loop ileostomy. The third stage is closure of the loop ileostomy. In this chapter, we describe the second stage of a three-stage pouch surgery, performed laparoscopically. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/11/09 UR - accesssurgery.mhmedical.com/content.aspx?aid=1204542947 ER -