Mesenteric Lengthening in Pouch Surgery: Review of Surgical Techniques

Abstract Described for the first time in medical literature 1978 by Parks and Nicholls, total proctocolectomy with ileal-pouch anal anastomosis (IPAA) is nowadays procedure of choice patients ulcerative colitis whom therapy has, a selected group Crohńs disease, familial adenomatous polyposis. Despite advances treatment regarding inflammatory bowel up to 30% still require surgery, restorative IPAA are mainstay surgical treatment. It considered demanding technically-challenging procedure, main challenge being performance tension-free IPAA; reason failure shortened mesentery. With particular attention detail, sufficient length can be achieved enable safe most patients. Herein, we describe available techniques lengthen mesentery ileal pouch perform an easy-to-reach anastomosis.