Table 2.

Stepwise approach for ileoanal pouch surgery

1	Standardised minimally invasive surgery technique. a.Stoma mobilisation and pneumoperitoneum. b. Bowel lengthening manoeuvres and trial descent of the pouch c. Proctectomy. d. Pouch formation and anastomosis. e. Pouchoscopy and air/water leak test. f. Loop ileostomy formation. g. Two consultants surgeons operating together all IPAA procedures.
2	Routine video recording of the procedure
3	Training: identify steps for training according to trainees’ previous experience. Stoma/pouch nurse theatre attendance for training and experience
4	Enhanced recovery after surgery
5	Data collection

IPAA, ileal pouch-anal anastomosis.