This video is of a 79-year-old woman, status post lower anterior resection and Hartmann's procedure. Seventeen weeks after LAR, reconstruction was performed. An extensive lysis of adhesions was needed in order for the descendent colon to reach the pelvis without tension. A detailed dissection around the rectum was performed making an end-to-end colorectal anastomosis possible using a circular stapler. The air leak insufflation test was negative. 4 ml of ICG were injected into the patient IV and angiography was performed with pinpoint. The last 4 cm of the descending colon did not light up. A piece of peri-colonic fat in this area was cut with laparoscopic scissors and arterial bleeding was found. The anastomosis was intact on rigid proctosigmoidoscopy showing pink mucosa. We performed a loop ileostomy in the right lower quadrant. Eight weeks after the surgery a flexible sigmoidoscopy is performed. An anastomosis at 10 cm from the anal verge without evidence of occlusion or perforation is seen. Now loop ileostomy has been reversed after a gastrografin enema have confirmed a healthy colorectal anastomosis with no strictures or leaks.