From conventional to innovative: fascia latae graft repair for ileal pouch prolapse: a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20252693Keywords:
Colonic pouches, Prolapse, Autografts, Proctocolectomy, Case reportsAbstract
Ileal pouch prolapse (IPP) is a rare complication of total proctocolectomy reconstruction, usually managed with biological mesh, and although the use of autologous tissues represents a surgical alternative, there is little evidence in the literature about it. This report aims to present the case of a 29-year-old woman with familial adenomatous polyposis and total proctocolectomy, who presented with rectal pain and bleeding. She was diagnosed with IPP and was approached with fascia latae grafting, achieving symptomatic improvement and an uncomplicated postoperative course. This case highlights the use of autografts of the patient's own tissues as a surgical alternative that generates a lower surgical cost with adequate clinical results.
Metrics
References
Puerta Diaz JD, Castaño Llano R, Arismendi I. Experiencias clínico quirúrgicas con 51 bolsas ileales. Rev Colomb Gastroenterol. 2004;19(2):79-85.
Joyce MR, Fazio VW, Hull TT, Church J, Kiran RP, Mor I, et al. Ileal pouch prolapse: Prevalence, management, and outcomes. J Gastrointest Surg. 2010;14(6):993-7. DOI: https://doi.org/10.1007/s11605-010-1194-y
Provenza C, Poulos C, Scott R, Banerjee S. A Novel Approach to Ileal Pouch Prolapse Repair Using Fibrin Sealant. Cureus. 2022;14(8):e28264. DOI: https://doi.org/10.7759/cureus.28264
Hardt J, Kienle P. Laparoscopic ventral pouch pexy with acellular dermal matrix (ADM)-a novel technique for the treatment of full-thickness pouch prolapse after restorative proctocolectomy and j-pouch. Int J Colorectal Dis. 2018;33(11):1643-6. DOI: https://doi.org/10.1007/s00384-018-3135-2
Khan F, Hull TL, Shen B. Diagnosis and management of floppy pouch complex. Gastroenterol Rep (Oxf). 2018;6(4):246-56. DOI: https://doi.org/10.1093/gastro/goy021
Fortunato AC, Pinheiro RS, Matsumoto CS, Arantes RM, Rocha-Santos V, Nacif LS, et al. Techniques for Closing the Abdominal Wall in Intestinal and Multivisceral Transplantation: A Systematic Review. Ann Transplant. 2022;27:e934595-1. DOI: https://doi.org/10.12659/AOT.934595
Pappou EP, Kiran RP. The Failed J Pouch. Clin Colon Rectal Surg. 2016;29(2):123. DOI: https://doi.org/10.1055/s-0036-1580724
Gao XH, Khan F, Yu GY, Li JQ, Chouhan H, Remer E, et al. Lower peripouch fat area is related with increased frequency of pouch prolapse and floppy pouch complex in inflammatory bowel disease patients. Int J Colorectal Dis. 2020;35(4):665-74. DOI: https://doi.org/10.1007/s00384-019-03469-x
Otero-Piñeiro AM, Maspero M, Holubar SD, Lightner AL, Steele SR, Hull T. Salvage Surgery: An Effective Therapy in the Management of Ileoanal Pouch Prolapse. Dis Colon Rectum. 2024;67(1):114-9. DOI: https://doi.org/10.1097/DCR.0000000000002669
Ehsan M, Isler JT, Kimmins MH, Billingham RP. Prevalence and management of prolapse of the ileoanal pouch. Dis Colon Rectum. 2004;47(6):885-8. DOI: https://doi.org/10.1007/s10350-004-0511-5
Delu AA, Terrani KF, Funk JT, Twiss CO. Harvest of large fascia lata autograft: Outcomes in 108 patients. Neurourol Urodyn. 2024;43(5):1179-84. DOI: https://doi.org/10.1002/nau.25464