How is a laparoscopic J-pouch procedure done?
A. Before your laparoscopic J-pouch operation, you’ll be asked to take a cleansing bowel preparation, similar to ones you have taken prior to colonoscopy. You will be admitted to hospital on the morning of surgery directly to the preoperative suite. Generally patients are asked to take nothing by mouth on the morning of surgery, although you will receive exact instructions in your anesthesia visit. The operation begins with induction of general anesthetic. Once you are asleep, the operating team positions you on the operating table with your knees apart. Your abdomen and the area around the anus are washed off and sterile drapes are applied. Now the operation begins. We place five small incisions, each no bigger than 1/2 inch, for the laparoscopic camera and operating instruments. Throughout the operation we instill carbon dioxide into your abdominal cavity to give us a “working space”. First we detach the large intestine from the back of the abdominal cavity, called the retroperitoneu
