Redo Ileal Pouch Surgery-Indications and Outcomes

Abdominal salvage surgery is a major undertaking for patients with imminent ileal pouch failure. The success of abdominal salvage surgery for sepsis is less than for a nonseptic indication. Although functional outcomes following abdominal revisional surgery can improve significantly, pouch failure after abdominal salvage continues steadily over time. Complications may occur and the duration of treatment, including in-hospital stay, may have a serious impact on a patient who has already suffered disappointment and ill health owing to the threatened failure after primary restorative proctocolectomy. The chance of success is an essential part of the consultation process and must be discussed fully.