Article (Scientific journals)
Repair of parastomal hernia after Bricker procedure: retrospective consecutive experience of a tertiary center.
Goffioul, L; ZJUKOVITSJ, Daniel; Moïse, Martin et al.
2023In Hernia
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Keywords :
Abdominal wall; Colostomy; Complication; Hernia; Ileostomy
Abstract :
[en] [en] BACKGROUND: Ileal conduit parastomal hernias (ICPHs) are frequent after radical cystectomy with ileal conduit urinary diversion, but their management is debated. This study aimed to review the results of ICPH repair according to Sugarbaker or Sandwich techniques, with special interest in ICPH recurrence and urological complications. METHODS: The authors reviewed a consecutive series of patients undergoing ICPH repair between January 2014 and December 2020. Primary endpoints were ICPH recurrences at clinical exam and cross-sectional abdominal computed tomography (CT) scans. Secondary endpoints were any other complications possibly related to the ICPH repair. RESULTS: Twenty-three patients underwent ICPH repair surgery (16 Sugarbaker and 7 Sandwich techniques) during the study period. Sixteen patients underwent a primary laparoscopic approach. All but one patient underwent at least one abdominal CT during the follow-up. Median clinical and CT scan follow-up times were 57 and 50.5 months, respectively. Clinical and CT ICPH recurrence rates were 4.5% and 13% at 5 years, respectively. Eighteen patients (78%) suffered no urological complications during the follow-up period, but three patients (13%) needed redo surgery on the urinary ileal conduit. CONCLUSION: The modified Sugarbaker or Sandwich techniques might be considered as promising techniques for ICPH repair with a low rate of recurrence. The urological complications, and particularly the ileal conduit-related issues, need to be evaluated in further studies. Controlled and prospective data are required to compare the Sugarbaker and Sandwich techniques to the Keyhole approach for ICPH repairs.
Disciplines :
Author, co-author :
Goffioul, L;  Department of Abdominal Surgery, CHR Citadelle, Liege, Belgium
ZJUKOVITSJ, Daniel ;  Centre Hospitalier Universitaire de Liège - CHU > > Frais communs chirurgie
Moïse, Martin ;  Centre Hospitalier Universitaire de Liège - CHU > > Service médical de radiodiagnostic
Waltregny, David  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service d'urologie
Detry, Olivier  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie abdo, sénologique, endocrine et de transplantation
Language :
Title :
Repair of parastomal hernia after Bricker procedure: retrospective consecutive experience of a tertiary center.
Publication date :
27 December 2023
Journal title :
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 31 December 2023


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