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01-12-2023 | Cystectomy | Research

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

Authors: Nicolas Bel, Pierre-Yves Blanc, David Moszkowicz, Bradford Kim, Pablo Ortega Deballon, Delia Berrada, David Liu, Benoit Romain, Delchet Ophélie, Yohann Renard, Guillaume Passot, on behalf of SFCP-CH

Published in: Langenbeck's Archives of Surgery | Issue 1/2023

Abstract

Background

Parastomal incisional hernia (PH) is a frequent complication following the creation of an ileal conduit (IC), and it can be a significant detriment to quality of life. The aim of this study was to evaluate outcomes of PH repair following IC for urinary diversion.

Method

A multicenter retrospective study was conducted of 6 academic hospitals in France. The study’s population included patients who underwent surgical treatment for parastomal hernia following IC creation from 2013 to 2021.

Results

Fifty-one patients were included in the study. Median follow up was 15.3 months. Eighteen patients presented with a recurrence (35%), with a median time to recurrence of 11.1 months. The vast majority of PH repair was performed through an open approach (88%). With regard to technique, Keyhole was the most reported technique (46%) followed by Sugarbaker (22%) and suture only (20%). The Keyhole technique was associated with a higher risk of recurrence compared to the Sugarbaker technique (52% vs 10%, p = 0.046). Overall, there was a 7.8% rate of major complications without a statistical difference between PH repair techniques for major complications.

Conclusion

Surgical treatment of parastomal hernia following IC was associated with a high risk of recurrence. Novel surgical approaches to PH repair should be considered.

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Title: Surgical management of parastomal hernia following radical cystectomy and ileal conduit: A french multi-institutional experience
Authors: Nicolas Bel
Pierre-Yves Blanc
David Moszkowicz
Bradford Kim
Pablo Ortega Deballon
Delia Berrada
David Liu
Benoit Romain
Delchet Ophélie
Yohann Renard
Guillaume Passot
on behalf of SFCP-CH
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Cystectomy
Parastomale Hernie
Published in: Langenbeck's Archives of Surgery / Issue 1/2023
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-023-03062-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Results

Conclusion

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