Is obstruction of ileal conduit after parastomal hernia repair with porcine derived tissue matrix Strattice™ a valid concern?
BAUS ePoster online library. Kocadag H. 06/27/18; 211402; P10-14
Dr. Huriye Kocadag
Dr. Huriye Kocadag
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)
Introduction and Objective: Parastomal hernia occurs in 17% of patients with ileal conduit and recurrence following repair occurs in 27-50%. The introduction of the porcine derived tissue matrix Strattice™ showed promising results in colorectal practice. We have reviewed repair of ileal conduit para-stomal hernias to compare outcomes in urological practice.

Methods: We retrospectively reviewed notes of 57 patients (18 men) of mean age 56 years (range 33-78) with ileal conduits having repair of hernia with Strattice™ mesh..Data collected included type of hernia repair (incisional or parastomal) and possible mesh related complications . All repairs were performed by 4 consultant surgeons utilising conduit pull through and intra-peritoneal lateral mesh fixation to the anterior abdominal wall.

Results: Of the 57 patients included, 34 had incisional hernia repair (mean age 60 years, range 41-77, 9 men) and 23 had para-conduit stoma hernia repair (mean age 54 years, range 33-71, 6 men). Complications are detailed in
Table 1:

Conclusion: 9 (39%) of 23 patients having repair of their ileal conduit parastomal hernia with Strattice™ mesh developed obstructive complications whilst the para-stomal hernia recurred in only 6/23 (26%). The rate of obstructive complications is higher than expected and warrants further close follow-up and study in prospective series. It may be that success in para-stomal repair is at the expense of obstructive complications.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings