I had a traditional total hystectomy a few years after my J pouch construction. It was a good thing my C/R surgeon was also in attendance because takedown of adhesions from the Jpouch surgery was very tricky and complicated. If you suspect a lot of adhesions or scar tissue like I had, I would think the prudent thing to do would be the open procedure. Incidentally, I had my J pouch surgery 5 weeks after a C-section and was not compromised in any was by having the 2 abdominal/pelvic surgeries so close together. Good luck to you whatever you and your doctor decide is the best way to go.