Salvage Procedures after Restorative Proctocolectomy: A Systematic Review and Meta-Analysis

Reoperative transabdominal surgery for ileoanal pouch salvage

“…11 Theodoropolous et al summarized overall outcomes of redo IPAA surgery very elaborately. 10 They included 31 out of 127 studies. Mean length of follow-up in the meta-analysis was 39 months with the longest mean follow up 65 months.…”

“…The redo pouch failure rate was 19% (range 7.1% to 30%). 10 In their review, the largest study on abdominal pouch salvage came from the Cleveland Clinic and totaled 241. 3 Immediately after the comprehensive review, we published our most recent experience on transabdominal redo IPAA.…”

“…5,11,13,14,15 The outcomes following redo IPAA surgery are critically dependent on experience and technical proficiency. 5,10,11,[14][15][16][17] Redo IPAA surgery provides acceptable function and good quality of life in patients who would deemed to have a permanent ileostomy, while seepage and pad usage requirement his relatively high after ileoanal pouch salvage. 10,11 Our patients had daytime and nighttime stool frequencies 6 (1-15) and 2 (0-9), respectively, and approximately 50% of patients had seepage and used pads by day and night.…”

“…5,10,11,[14][15][16][17] Redo IPAA surgery provides acceptable function and good quality of life in patients who would deemed to have a permanent ileostomy, while seepage and pad usage requirement his relatively high after ileoanal pouch salvage. 10,11 Our patients had daytime and nighttime stool frequencies 6 (1-15) and 2 (0-9), respectively, and approximately 50% of patients had seepage and used pads by day and night. 11 That data clearly shows patients' fear from a permanent ileostomy and use to deal with continence and bowel habit issues after redo IPAA surgery.…”

“…All over the world limited number of institutions have adequate experience, infrastructure and case volume on redo IPAA surgery. 5,10 …”