Recently, ileal pouch-anal anastomosis (IPAA) is considered a surgical method of choice in the patients with restorative proctocolectomy for ulcerative colitis and familial adenomatous polyposis. Various methods are currently used for the creation of ileal reservoirs with IPAA presenting with advantages and disadvantages as well. The modified technique of Delorme's procedure for rectal prolapse has shown that the increased basal anal pressure underlies the improved continence in these patients. A modified author's own method for creation of IPAA by means of mucosectomy of a plicated segment of rectal residual is described. The operative technique includes a J-pouch construction, too. Early and distant postoperative results concerning the function of the ileal pouch and patients' quality of life are encouraging.
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