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Hindawi Publishing Corporation Gastroenterology Research and Practice Volume 2010, Article ID 790462, 4 pages doi:10.1155/2010/790462 Case Report Robotic-Assisted Laparoscopic “Salvage” Rectopexy for Recurrent Ileoanal J-Pouch Prolapse Madhu Ragupathi, Chirag B. Patel, Diego I. Ramos-Valadez, and Eric M. Haas Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, University of Texas Medical School at Houston, 7900 Fannin Street, Suite 2700, Houston, TX 77054, USA Correspondence should be addressed to Eric M. Haas, ehaasmd@ Received 24 September 2009; Accepted 2 February 2010 Academic Editor: Brenda J. Hoffman Copyright © 2010 Madhu Ragupathi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Total restorative proctocolectomy with ileal pouch-anal anastomosis (RP/IPAA) has become the standard of care for the surgical treatment of ulcerative colitis. Despite its correlation with an excellent quality of life and favorable long-term outcomes, RP/IPAA has been associated with several complications. Prolapse of the ileoanal pouch is a rare and debilitating complication that should be considered in the differential diagnosis of pouch failure. Limited data exist regarding the prevalence and treatment of pouch prolapse. We present the case of a recurrent J-pouch prolapse treated with a novel minimally invasive “salvage” approach involving a robotic-assisted laparoscopic rectopexy with mesh. 1. Introduction in May 2009. Her past medical history was significant for