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parastomal Hernia as a Risk Factor for Ileal Conduit Fistulae

International Journal of Clinical Medicine 2011年第3期2卷 289-291页

作者： Thomas A. A Skinner Richard W Norman Department of Urology Dalhousie University

Purpose: To review potential risk factors for the development of ileal conduit fistulae. Methods: Two patients were identified who had a remote history of an ileal conduit and who formed a fistula from the conduit—one to the small bowel and one to the skin. Their presentation, management and outcomes are described. Results: Both patients had parastomal hernias as the likely cause of their fistula formation. Discussion: parastomal herniation may contribute to fistula formation due to a strangulated ischemic pressure necrosis of the adjacent ileal conduit and/or bowel.

关键词： Fistula Ileal Conduit parastomal Hernia Urinary Diversion

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Current state of laparoscopic parastomal hernia repair:A meta-analysis

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World Journal of Gastroenterology 2015年第28期21卷 8670-8677页

作者： Francis J DeAsis Brittany Lapin Matthew E Gitelis Michael B Ujiki Section of Minimally Invasive Surgery Department of Surgery North Shore University Health System

AIM:To evaluate the efficacy and safety of the laparoscopic approaches for parastomal hernia repair reported in the ***:A systematic review of PubMed and MEDLINE databases was conducted using various combination of the following keywords:stoma repair,laparoscopic,parastomal,and *** reports,studies with less than 5 patients,and articles not written in English were *** studies were further scrutinized with the 2011 levels of evidence from the Oxford Centre for Evidence-Based *** authors reviewed and analyzed each *** there was any discrepancy between scores,the study in question was referred to another author.A meta-analysis was performed using both random and fixed-effect *** bias was evaluated using Begg's funnel plot and Egger's regression *** primary outcome analyzed was recurrence of parastomal *** outcomes were mesh infection,surgical site infection,obstruction requiring reoperation,death,and other *** were grouped by operative technique where *** for recurrence,most postoperative morbidities were reported for the overall cohort and not by approach so they were analyzed across ***:Fifteen articles with a total of 469 patients were deemed eligible for *** postoperative morbidities were reported for the overall cohort,and not by *** overall postoperative morbidity rate was 1.8%(95%CI:0.8-3.2),and there was no difference between *** most common postoperative complication was surgical site infection,which was seen in 3.8%(95%CI:2.3-5.7).Infected mesh was observed in 1.7%(95%CI:0.7-3.1),and obstruction requiring reoperation also occurred in 1.7%(95%CI:0.7-3.0).Other complications such as ileus,pneumonia,or urinary tract infection were noted in16.6%(95%CI:11.9-22.1).Eighty-one recurrences were reported overall for a recurrence rate of 17.4%(95%CI:9.5-26.9).The recurrence rate was 10.2%(95%CI:3.9-19.0) for the modif

关键词： parastomal Hernia Laparoscopic Repair Treatment Sugarbaker Keyhole Sandwich Ileostomy Colostomy

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