Hi Emile, I tried for a two-step surgery. After takedown I developed a leak and peritonitis. The pain from the peritonitis was incredible, I still get the horrors when I recall it. I had to have an urgent surgery to clean up my abdomen and put in a new ileostomy. Then I spent an extra week in the hospital recovering. I finally completed takedown a couple of months later with a fourth surgery.
I was not on prednisone or a biologic at surgery, and was relatively healthy (for a colitis patient). My surgeon did say that about 7% of patients would get a leak, so I guess I was unlucky. In my case three surgeries would have been better, but there was no way to predict that going in, as I was a 'good' candidate for a 2-step procedure.