A Novel Approach to Ileal Pouch Prolapse Repair Using Fibrin Sealant

Christina Provenza; Constantine Poulos; Rachel Scott; Saumitra Banerjee

doi:10.7759/cureus.28264

A Novel Approach to Ileal Pouch Prolapse Repair Using Fibrin Sealant

Cureus. 2022 Aug 22;14(8):e28264. doi: 10.7759/cureus.28264. eCollection 2022 Aug.

Authors

Christina Provenza¹, Constantine Poulos¹, Rachel Scott², Saumitra Banerjee²

Affiliations

¹ Surgery, University of Connecticut School of Medicine, Farmington, USA.
² Surgery, Colon and Rectal Surgeons of Greater Hartford, Bloomfield, USA.

Abstract

The ileal pouch-anal anastomosis is a commonly accepted neorectum after total proctocolectomy for familial adenomatous polyposis and ulcerative colitis. Generally, patients have decent bowel control, but ileal pouches are not without complications. One relatively uncommon complication is ileal pouch prolapse. Prolapse can be either mucosal or full thickness, similar to rectal prolapse. There is limited literature detailing the frequency and management of ileal pouch prolapse. The majority of the literature is case reports with a few small retrospective studies. Fibrin glue has been described for sutureless mesh fixation in total extraperitoneal hernia repairs. Here, we describe a fibrin glue pouch pexy for ileal pouch prolapse after total proctocolectomy with ileal pouch-anal anastomosis.

Keywords: colorectal surgery; fibrin sealant; ileal pouch prolapse; ileal pouch prolapse repair method; surgical case reports.

Publication types

Case Reports