“…Furthermore, a prolonged intestinal mucosal ischemia, through the mechanism of systemic toxicity, may increase the risk of complications in acute patients with elevated inflammatory indices, risk of thromboembolism, or under maximal rescue treatment with steroids and biologicals [ 13 , 14 , 15 , 16 , 17 ]. Several technical approaches are currently used by IBD surgeons to perform urgent SCo: Open surgery, multiport versus single-port versus hand-assisted laparoscopic surgery, central vascular ligations versus pericolic dissection, medial-to-lateral versus lateral-to-medial mobilization of the mesentery, rectal stump closure versus rectosigmoid mucocutaneous fistula [ 11 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ].…”