A Novel Approach to Ileal Pouch Prolapse Repair Using Fibrin Sealant

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.