World Journal of Surgery

, Volume 42, Issue 6, pp 1867–1871 | Cite as

Routine Virtual Ileostomy Following Restorative Proctocolectomy for Familial Adenomatous Polyposis

  • Peter C. Ambe
  • Hubert Zirngibl
  • Gabriela Möslein
Innovative Surgical Techniques Around the World



Anastomotic leakage (AL) is the most feared complication in colorectal surgery. A diverting ileostomy is routinely used to prevent or reduce morbidity and mortality following AL. However, a diverting ileostomy cannot prevent AL. Besides, diverting ileostomy might be associated with relevant complications. Herein, we introduce the virtual ileostomy as an alternative to diverting ileostomy in patients undergoing restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) for familial adenomatous polyposis (FAP).

Materials and methods

The results of eight patients, five females and three males with a median age of 19.5 ± 6.0 years (range 16.0–31.0 years), undergoing restorative proctocolectomy with IPAA and virtual ileostomy for FAP are presented.


All cases were laparoscopically managed. The virtual ileostomy was released between postoperative day 7 and 9. No AL was registered. Postoperative recovery was uneventful in all cases.


A diverting ileostomy was prevented via the use of virtual ileostomy in all cases. Thus, virtual ileostomy is a good alternative to diverting ileostomy in patients undergoing restorative proctocolectomy with IPAA for FAP.


Author's contribution

Conception and Design: PCA, GM, HZ. Data acquisation/Analysis and Interpretation: PCA, HZ, GM. Drafting: PA. Critical review: PCA, HZ, GM. Final approval: GM, HZ, PCA.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Société Internationale de Chirurgie 2017

Authors and Affiliations

  • Peter C. Ambe
    • 1
    • 2
  • Hubert Zirngibl
    • 1
  • Gabriela Möslein
    • 2
  1. 1.Department of Surgery, Helios University Hospital WuppertalWitten/Herdecke UniversityWuppertalGermany
  2. 2.Center for Hereditary Tumor Diseases, Helios University Hospital WuppertalWitten/Herdecke UniversityWuppertalGermany

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