Ahmad Uraiqat, Robin Phillips
Various issues regarding pouch construction can affect pouch reach. General pouch configuration tends to be with J-pouches these days, they are simple to construct, the W-pouch is larger, but the S-pouch may reach further. Hand sewn, pouch anal anastomosis is somewhat more skilled than the stapled pouch. The stapled pouch gives a degree of extra length. There remains the issue of whether the pouch will indeed reach the anus. This video explores the surgical methods to ensure pouch length in this technical procedure.