Radical cystectomy and pelvic lymphadenectomy with ileal conduit urinary diversion and abdominal wall reconstruction: an interesting case of multidisciplinary management

The ileal conduit for urinary diversion after radical cystectomy is a well-described procedure. Furthermore, parastomal hernias, prolapse, stenosis, and retraction of the stoma have been reported as some of the more common complications of this procedure. The subsequent repair of parastomal hernias...

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Bibliographic Details
Published inInternational medical case reports journal Vol. 8; no. default; pp. 29 - 31
Main Authors Sofos, Stratos S, Walsh, Ciaran J, Parr, Nigel J, Hancock, Kevin
Format Journal Article
LanguageEnglish
Published New Zealand Dove Medical Press Limited 01.01.2015
Taylor & Francis Ltd
Dove Medical Press
Subjects
Abdomen
Bladder cancer
Care and treatment
Case Report
Case reports
Cystectomy
Diagnosis
Hernias
Lymph nodes
Mesentery
Methods
Ostomy
Outpatient care facilities
Patient outcomes
Surgery
Urology
Wound healing
United Kingdom > UK
United States > US
posterior component separation
biological mesh
incisional hernia
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Summary:The ileal conduit for urinary diversion after radical cystectomy is a well-described procedure. Furthermore, parastomal hernias, prolapse, stenosis, and retraction of the stoma have been reported as some of the more common complications of this procedure. The subsequent repair of parastomal hernias with a biological mesh and the potential of the conduit to "tunnel" through it has also been described. In this case report, we present a combined repair of a large incisional hernia with a cystectomy and a pelvic lymphadenectomy for invasive bladder cancer, with the use of a biological mesh for posterior component abdominal wall primary repair as well as for support to the ileal conduit used for urinary diversion.
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S61094