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Figure 1: After the previous terminal ileostomy is freed by the abdominal wall, the ileal pouch is performed (a); the same abdominal wall incision is used to create the pneumo-peritoneum through a 10 mm trocar after positioning of LAP-DISC (b); trocar positions (c); the proctectomy is performed at the elevators muscles level stapling at the anal channel 2 cm above the dentate line (d and square). The loop ileostomy is created using the right flank incision and drainage is let in the pelvis using the 10 mm left flank trocar incision (e)

Figure 1: After the previous terminal ileostomy is freed by the abdominal wall, the ileal pouch is performed (a); the same abdominal wall incision is used to create the pneumo-peritoneum through a 10 mm trocar after positioning of LAP-DISC (b); trocar positions (c); the proctectomy is performed at the elevators muscles level stapling at the anal channel 2 cm above the dentate line (d and square). The loop ileostomy is created using the right flank incision and drainage is let in the pelvis using the 10 mm left flank trocar incision (e)