Surgical management of parastomal hernia following radical cystectomy and ileal conduit: A french multi-institutional experience

Bel, Nicolas; Blanc, Pierre-Yves; Moszkowicz, David; Kim, Bradford; Deballon, Pablo Ortega; Berrada, Delia; Liu, David; Romain, Benoit; Ophélie, Delchet; Renard, Yohann; Passot, Guillaume; ,; Neuzillet, Yann; Lecomte, Alexandra Masson; Cotte, Juliette; Anract, Julien; Xylinas, Evanguelos; Grassin, Antoine; Lehrer, Jade; Ruffion, Alain; Colombel, Marc; Gillion, Jena Francois

doi:10.1007/s00423-023-03062-5

Cited by 5 publications

(4 citation statements)

References 32 publications

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“…We recommend using a composite patch that is large enough to cover approximately 6cm of the intestinal tube and extend at least 3cm beyond the edges of the defect [19,20] . Some surgeons consider the use of slow resorbing mesh in order to theoretically reduce the risks of intestinal complication, digestive fstula, or bowel obstructions [21] . But we still use unabsorbable synthetic patch and In our study, there were no long-term complications related to mesh placement following IC PH repair.…”

Section: Discussionmentioning

confidence: 99%

“…Although there were more reports about Keyhole repair, more and more surgeons recommend Sugarbaker in recent years [5,21] .The intestine covered by the mesh is just related to urinary function instead of defecation and there is less passive dilation and peristalsis Comparing to para-colostomy hernia. This may explain the lower recurrence rate of the Sugarbaker technique in PH following IC than para-colostomy hernia.…”

Section: Discussionmentioning

confidence: 99%

“…In this case study, three patients presented with a recurrence (8.6%), but they refused further surgery because the recurrence did not have signi cant impact on the quality of life. Many patients could be managed through nonoperative treatments [21] .Two patients developed a peristomal abscess and one patient experienced partial intestinal obstruction, and they were all relieved through non-surgical treatment. This is the largest study report so far, with a maximum of 10 cases reported about Sugarbaker technique in PH following IC before [5,21] and our study established that the Sugarbaker technique was associated with low complication and recurrence rate.…”

Section: Discussionmentioning

confidence: 99%

“…Many patients could be managed through nonoperative treatments [21] .Two patients developed a peristomal abscess and one patient experienced partial intestinal obstruction, and they were all relieved through non-surgical treatment. This is the largest study report so far, with a maximum of 10 cases reported about Sugarbaker technique in PH following IC before [5,21] and our study established that the Sugarbaker technique was associated with low complication and recurrence rate. However, it is important to note that this study has certain limitations.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic repair of parastomal hernia following radical cystectomy and ileal conduit: A Single-Center Experience

Fu,

Hua,

et al. 2024

Preprint

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Purpose: Parastomal hernia (PH) is a frequent complication following radical cystectomy and ileal conduit (IC). The purpose of this study was to summarize the clinical experience and technical characteristics of laparoscopic repair of PH following IC. Methods: We retrospectively evaluated all patients who underwent laparoscopic treatment of PH following IC at Huashan Hospital, Fudan University from May 2013 to December 2022. Results:Thirty-five patients were included in the study. Median follow up was 32 months. Three patients presented with a recurrence (8.6%), with a median time to recurrence of 14 months. Out of the 35 patients, Thirty-two underwent totally laparoscopic repair using the Sugarbaker technique, Three patients required open surgery to repair the intestinal injury after laparoscopic exploration. One patient died 9 months post-surgery due to COVID-19. During the follow-up period, two patients developed a peristomal abscess, and one patient experienced partial intestinal obstruction 10 days after surgery. Conclusion: Surgical management of PH following IC is challenging. The laparoscopic Sugarbaker technique for repairing PHfollowing IC has low complication and recurrence rate.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Laparoscopic repair of parastomal hernia following radical cystectomy and ileal conduit: A Single-Center Experience

Fu,

Hua,

et al. 2024

Preprint

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Perioperative and extended outcomes of patients undergoing parastomal hernia repair following cystectomy and ileal conduit

Haque,

Ghoreifi,

Sheybaee Moghaddam

et al. 2024

World J Urol

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Purpose To report perioperative and long-term postoperative outcomes of cystectomy patients with ileal conduit (IC) urinary diversion undergoing parastomal hernia (PSH) repair. Method We reviewed patients who underwent cystectomy and IC diversion between 2003 and 2022 in our center. Baseline variables, including surgical approach of PSH repair and repair technique, were captured. Multivariable Cox regressionanalysis was performed to test for the associations between different variables and PSH recurrence. Results Thirty-six patients with a median (IQR) age of 79 (73–82) years were included. The median time between cystectomy and PSH repair was 30 (14–49) months. Most PSH repairs (32/36, 89%) were performed electively, while 4 were due to small bowel obstruction. Hernia repairs were performed through open (n=25), robotic (10), and laparoscopic approaches (1). Surgical techniques included direct repair with mesh (20), direct repair without mesh (4), stoma relocation with mesh (5), and stomarelocation without mesh (7). The 90-day complication rate was 28%. In a median follow-up of 24 (7–47) months, 17 patients (47%) had a recurrence. The median time to recurrence was 9 (7–24) months. On multivariable analysis, 90-day complication following PSH repair was associated with an increased risk of recurrence. Conclusions In this report of one of the largest series of PSH repair in the Urology literature, 47% of patients had a recurrence following hernia repair with a median follow-up time of 2 years. There was no significant difference in recurrence rates when comparing repair technique or the use of open or minimally invasive approaches.

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Repair of parastomal hernia after Bricker procedure: retrospective consecutive experience of a tertiary center

Goffioul,

Zjukovitsj,

Moise

et al. 2023

Hernia

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Surgical management of parastomal hernia following radical cystectomy and ileal conduit: A french multi-institutional experience

Cited by 5 publications

References 32 publications

Laparoscopic repair of parastomal hernia following radical cystectomy and ileal conduit: A Single-Center Experience

Laparoscopic repair of parastomal hernia following radical cystectomy and ileal conduit: A Single-Center Experience

Perioperative and extended outcomes of patients undergoing parastomal hernia repair following cystectomy and ileal conduit

Repair of parastomal hernia after Bricker procedure: retrospective consecutive experience of a tertiary center

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