Urostomal ileal conduit complications in association with abdominal wall mesh implantation
(2022) In Scandinavian Journal of Urology 56(1). p.1-5- Abstract
Objective: Parastomal hernia (PH) in association with an ileal conduit is a common complication that is difficult to treat. Mesh reinforcement has been suggested to improve outcomes; either as prophylaxis or for treatment of a parastomal hernia during abdominal wall reconstruction. Patients and methods: A retrospective study was performed in consecutive patients subjected to mesh implantation between 2000 and 2016 having a concurrent or previous ileal conduit reconstruction. Postoperative and late urostomal complications, as well as hernia occurrence, were ascertained by a chart review of patients’ records. Results: A total of 25 patients were included of whom 13 (52%) developed either a urostomal complication, a PH, or both.... (More)
Objective: Parastomal hernia (PH) in association with an ileal conduit is a common complication that is difficult to treat. Mesh reinforcement has been suggested to improve outcomes; either as prophylaxis or for treatment of a parastomal hernia during abdominal wall reconstruction. Patients and methods: A retrospective study was performed in consecutive patients subjected to mesh implantation between 2000 and 2016 having a concurrent or previous ileal conduit reconstruction. Postoperative and late urostomal complications, as well as hernia occurrence, were ascertained by a chart review of patients’ records. Results: A total of 25 patients were included of whom 13 (52%) developed either a urostomal complication, a PH, or both. Complications were caused by mesh erosion in four patients, of which three were diagnosed more than five years after surgery. Four patients developed a urostomal stenosis. One out of eight patients with urostomal complications were subjected to a new ileal conduit reconstruction and another four to other types of revisional surgery. Conclusions: Every second patient with an ileal conduit developed either a local urostomal complication, a PH, or both after abdominal wall mesh reconstruction. A careful and cautious attitude towards the use of mesh in patients with an ileal conduit is suggested.
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- author
- Jakobsson, L. LU ; Montgomery, A. LU ; Ingvar, J. LU ; Löfgren, A. LU and Liedberg, F. LU
- organization
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- complications, Ileal conduit, mesh implantation, parastomal hernia
- in
- Scandinavian Journal of Urology
- volume
- 56
- issue
- 1
- pages
- 1 - 5
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85116571320
- pmid:34623226
- ISSN
- 2168-1805
- DOI
- 10.1080/21681805.2021.1986571
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2021 Acta Chirurgica Scandinavica Society.
- id
- c3121e91-1c30-46bf-8a2f-7b09c34a176a
- date added to LUP
- 2021-10-27 10:44:32
- date last changed
- 2024-06-15 19:29:39
@article{c3121e91-1c30-46bf-8a2f-7b09c34a176a,
abstract = {{<p>Objective: Parastomal hernia (PH) in association with an ileal conduit is a common complication that is difficult to treat. Mesh reinforcement has been suggested to improve outcomes; either as prophylaxis or for treatment of a parastomal hernia during abdominal wall reconstruction. Patients and methods: A retrospective study was performed in consecutive patients subjected to mesh implantation between 2000 and 2016 having a concurrent or previous ileal conduit reconstruction. Postoperative and late urostomal complications, as well as hernia occurrence, were ascertained by a chart review of patients’ records. Results: A total of 25 patients were included of whom 13 (52%) developed either a urostomal complication, a PH, or both. Complications were caused by mesh erosion in four patients, of which three were diagnosed more than five years after surgery. Four patients developed a urostomal stenosis. One out of eight patients with urostomal complications were subjected to a new ileal conduit reconstruction and another four to other types of revisional surgery. Conclusions: Every second patient with an ileal conduit developed either a local urostomal complication, a PH, or both after abdominal wall mesh reconstruction. A careful and cautious attitude towards the use of mesh in patients with an ileal conduit is suggested.</p>}},
author = {{Jakobsson, L. and Montgomery, A. and Ingvar, J. and Löfgren, A. and Liedberg, F.}},
issn = {{2168-1805}},
keywords = {{complications; Ileal conduit; mesh implantation; parastomal hernia}},
language = {{eng}},
number = {{1}},
pages = {{1--5}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Journal of Urology}},
title = {{Urostomal ileal conduit complications in association with abdominal wall mesh implantation}},
url = {{http://dx.doi.org/10.1080/21681805.2021.1986571}},
doi = {{10.1080/21681805.2021.1986571}},
volume = {{56}},
year = {{2022}},
}