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06-09-2024 | Parastomale Hernie | Original Article

Robotic parastomal hernia repair in Ileal-conduit patients: short-term results in a single-center cohort study

Authors: Tommaso Violante, Davide Ferrari, Ibrahim A. Gomaa, Sara A. Aboelmaaty, Richard Sassun, Annaclara Sileo, Jyi Cheng, Katherine T. Anderson, Robert R. Cima

Published in: Hernia

Abstract

Purpose

To describe and evaluate safety and feasibility of the robotic modified Sugarbaker technique with intraperitoneal underlay mesh (IPUM) for repairing parastomal hernias associated with ileal conduits (ICPSH).

Methods

This retrospective, single-center cohort study analyzed data from 15 adult patients who underwent robotic ICPSH repair using the modified Sugarbaker IPUM technique between July 2021 and July 2023. The primary endpoints were hernia recurrence rates and 30-day morbidity. Secondary endpoints included length of stay, conversion to open surgery, 30-day readmission, and 30-day reoperation.

Results

The mean patient age was 69.1 years, and 53.3% were female. Most patients (86.6%) had undergone radical cystectomy as the index surgery. The mean operative time was 249 min, with no conversions to open surgery. The 30-day complication rate was 26.7%, and the mean hospital stay was 3.6 days. No hernia recurrences, hydronephrosis, rise in creatinine or distended conduit on imaging suggesting poor drainage were observed during a mean follow-up of 15.2 months.

Conclusions

The robotic modified Sugarbaker IPUM technique appears safe and feasible for PSH repair in IC patients, with promising short-term outcomes. Further studies with larger cohorts and longer follow-up are needed to confirm its long-term efficacy and establish its role in ICPSH management.

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Title: Robotic parastomal hernia repair in Ileal-conduit patients: short-term results in a single-center cohort study
Authors: Tommaso Violante
Davide Ferrari
Ibrahim A. Gomaa
Sara A. Aboelmaaty
Richard Sassun
Annaclara Sileo
Jyi Cheng
Katherine T. Anderson
Robert R. Cima
Publication date: 06-09-2024
Publisher: Springer Paris
Keywords: Parastomale Hernie
Enterostomy
Enterostomy
Published in: Hernia
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-024-03153-2

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Robotic parastomal hernia repair in Ileal-conduit patients: short-term results in a single-center cohort study

Abstract

Purpose

Methods

Results

Conclusions

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions

Keynote webinar | Spotlight on modern management of frailty

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Abstract

Purpose

Methods

Results

Conclusions

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Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions