Modified keyhole plus technique with partial release of posterior rectus sheath for parastomal hernia repair after ileal conduit

Yuuri Hatsuzawa, Shingo Tsujinaka*, Nao Kakizawa, Ryo Maemoto, Yasuaki Kimura, Masakazu Nagamori, Nobuyuki Toyama, Toshiki Rikiyama

*この論文の責任著者

研究成果: ジャーナルへの寄稿学術論文査読

2 被引用数 (Scopus)

抄録

Parastomal hernia (PH) is a common complication of ileal conduit diversions. The Sugarbaker technique has a lower recurrence rate than the keyhole (KH) technique and is typically preferred. However, it may not be feasible in some cases because of anatomical features including the length of the conduit and torsion of the ureter. An 80-year-old woman with complaints of abdominal distention was diagnosed with PH 5 years after radical cystectomy. Computed tomography revealed a 90 × 20-mm muscular layer defect on the cranial side of the ileal conduit. Therefore, we performed the KH technique with intracorporeal closure of the defect using a relief incision of the posterior rectus sheath, avoiding the possibility of torsion of the ureteral ileal anastomosis. No hernia recurrence was observed at postoperative 10 months. The proposed KH plus technique may be an effective method for PH after ileal conduit diversion, thus preventing urinary complications.

本文言語英語
ページ(範囲)850-853
ページ数4
ジャーナルAsian journal of endoscopic surgery
15
4
DOI
出版ステータス出版済み - 2022/10

ASJC Scopus 主題領域

  • 外科
  • 消化器病学

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