Parastomal Hernia after Radical Cystectomy with Ileal Conduit Diversion: A Narative Review.

[en] Radical cystectomy (RC) with ileal conduit urinary diversion has become a common surgical procedure. Stomal complications and particularly parastomal hernia (PH), are the most frequent complications and causes of reintervention after RC with ileal conduit urinary diversion. PH is usually asymptomatic. When PH increases in size and becomes symptomatic, it clearly impairs patients' quality of life in terms of physical limitation, mental distress and social interaction. The aim of this paper was to review the current knowledge on PH after RC with ileal conduit urinary diversion, regarding its natural history, risk factors, prevention and surgical management. There is no strong recommendation on the ideal surgical technique for repair of PH after RC, but laparoscopic Sugarbaker or Sandwich techniques with non-absorbable meshes are emerging as the preferred modern means of PH repair. Techniques for prevention and repair of PH after RC need to be specifically evaluated in future prospective studies.

Disciplines :

Surgery

Author, co-author :

GOFFIOUL, Lauranne ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Chirurgie abdo, sénologique, endocrine et de transplantation

Bonnet, Pierre ; Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Anatomie humaine systématique

Waltregny, David ; Université de Liège - ULiège > Département des sciences cliniques > Urologie

Detry, Olivier ; Université de Liège - ULiège > Département des sciences cliniques > Pathologie chirurgicale abdominale et endocrinienne

Language :

English

Title :

Parastomal Hernia after Radical Cystectomy with Ileal Conduit Diversion: A Narative Review.

Publication date :

12 December 2021

Journal title :

Acta Chirurgica Belgica

ISSN :

1784-3421

eISSN :

2577-0160

Publisher :

Taylor & Francis, United Kingdom

Volume :

121

Issue :

Pages :

373-379

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 30 October 2021

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