دورية أكاديمية
أعرض في EDS

Perioperative and extended outcomes of patients undergoing parastomal hernia repair following cystectomy and ileal conduit.

التفاصيل البيبلوغرافية
العنوان: Perioperative and extended outcomes of patients undergoing parastomal hernia repair following cystectomy and ileal conduit.
المؤلفون: Haque TF; Urology Department, University of Southern California, Los Angeles, CA, USA., Ghoreifi A; Urology Department, University of Southern California, Los Angeles, CA, USA., Sheybaee Moghaddam F; Urology Department, University of Southern California, Los Angeles, CA, USA., Kaneko M; Urology Department, University of Southern California, Los Angeles, CA, USA., Ginsberg D; Urology Department, University of Southern California, Los Angeles, CA, USA., Sotelo R; Urology Department, University of Southern California, Los Angeles, CA, USA., Gill I; Urology Department, University of Southern California, Los Angeles, CA, USA., Desai M; Urology Department, University of Southern California, Los Angeles, CA, USA., Aron M; Urology Department, University of Southern California, Los Angeles, CA, USA., Schuckman A; Urology Department, University of Southern California, Los Angeles, CA, USA., Daneshmand S; Urology Department, University of Southern California, Los Angeles, CA, USA., Djaladat H; Urology Department, University of Southern California, Los Angeles, CA, USA. hoomanj@yahoo.com.
المصدر: World journal of urology [World J Urol] 2024 Aug 12; Vol. 42 (1), pp. 482. Date of Electronic Publication: 2024 Aug 12.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer International Country of Publication: Germany NLM ID: 8307716 Publication Model: Electronic Cited Medium: Internet ISSN: 1433-8726 (Electronic) Linking ISSN: 07244983 NLM ISO Abbreviation: World J Urol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Berlin ; New York] : Springer International, 1983-
مواضيع طبية MeSH: Urinary Diversion*/methods , Cystectomy*/methods , Herniorrhaphy*/methods , Incisional Hernia*/surgery , Incisional Hernia*/etiology , Incisional Hernia*/epidemiology, Humans ; Aged ; Male ; Female ; Aged, 80 and over ; Retrospective Studies ; Treatment Outcome ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Hernia, Ventral/surgery ; Recurrence ; Surgical Mesh ; Urinary Bladder Neoplasms/surgery ; Time Factors
مستخلص: Purpose: To report perioperative and long-term postoperative outcomes of cystectomy patients with ileal conduit (IC) urinary diversion undergoing parastomal hernia (PSH) repair.
Method: We reviewed patients who underwent cystectomy and IC diversion between 2003 and 2022 in our center. Baseline variables, including surgical approach of PSH repair and repair technique, were captured. Multivariable Cox regressionanalysis was performed to test for the associations between different variables and PSH recurrence.
Results: Thirty-six patients with a median (IQR) age of 79 (73-82) years were included. The median time between cystectomy and PSH repair was 30 (14-49) months. Most PSH repairs (32/36, 89%) were performed electively, while 4 were due to small bowel obstruction. Hernia repairs were performed through open (n=25), robotic (10), and laparoscopic approaches (1). Surgical techniques included direct repair with mesh (20), direct repair without mesh (4), stoma relocation with mesh (5), and stomarelocation without mesh (7). The 90-day complication rate was 28%. In a median follow-up of 24 (7-47) months, 17 patients (47%) had a recurrence. The median time to recurrence was 9 (7-24) months. On multivariable analysis, 90-day complication following PSH repair was associated with an increased risk of recurrence.
Conclusions: In this report of one of the largest series of PSH repair in the Urology literature, 47% of patients had a recurrence following hernia repair with a median follow-up time of 2 years. There was no significant difference in recurrence rates when comparing repair technique or the use of open or minimally invasive approaches.
(© 2024. The Author(s).)
References: BJU Int. 2014 Jan;113(1):11-23. (PMID: 24330062)
JAMA. 2020 Dec 1;324(21):2222. (PMID: 33258891)
Dis Colon Rectum. 2014 Jun;57(6):801-3. (PMID: 24807607)
Urology. 2017 Dec;110:262. (PMID: 29061321)
Radiographics. 2021 Jan-Feb;41(1):249-267. (PMID: 33306453)
Hernia. 2017 Apr;21(2):163-175. (PMID: 28025739)
J Urol. 2017 Sep;198(3):552-559. (PMID: 28456635)
Br J Surg. 2003 Jul;90(7):784-93. (PMID: 12854101)
Clin Colon Rectal Surg. 2014 Dec;27(4):162-71. (PMID: 25435825)
Dis Colon Rectum. 2013 Nov;56(11):1265-72. (PMID: 24105002)
Urol Oncol. 2019 Mar;37(3):180.e1-180.e9. (PMID: 30482434)
Transl Cancer Res. 2021 Mar;10(3):1389-1398. (PMID: 35116464)
World J Urol. 2020 Aug;38(8):1895-1904. (PMID: 31676912)
Surg Clin North Am. 2018 Jun;98(3):577-592. (PMID: 29754623)
J Urol. 2014 May;191(5):1313-8. (PMID: 24333109)
BMC Surg. 2020 Nov 24;20(1):296. (PMID: 33234128)
Surg Res Pract. 2017;2017:8597463. (PMID: 29204515)
J Urol. 2014 Jun;191(6):1708-13. (PMID: 24384155)
World J Surg. 2021 Jun;45(6):1742-1749. (PMID: 33560501)
J Urol. 2003 Mar;169(3):985-90. (PMID: 12576827)
Arch Surg. 1994 Apr;129(4):413-8; discussion 418-9. (PMID: 8154967)
Front Surg. 2022 Aug 02;9:928743. (PMID: 35983552)
Investig Clin Urol. 2016 Jul;57(4):240-8. (PMID: 27437533)
Eur Urol. 2020 Nov;78(5):757-763. (PMID: 32800407)
Langenbecks Arch Surg. 2023 Aug 29;408(1):344. (PMID: 37642752)
Chirurgie (Heidelb). 2022 Dec;93(Suppl 2):129-140. (PMID: 36480037)
Colorectal Dis. 2010 Jul;12(7):681-6. (PMID: 19486097)
BMC Surg. 2022 Mar 29;22(1):118. (PMID: 35351086)
BJU Int. 2022 Sep;130(3):381-388. (PMID: 34837315)
فهرسة مساهمة: Keywords: Abdominal hernia; Cystectomy; Herniorrhaphy; Surgical mesh; Urinary diversion
تواريخ الأحداث: Date Created: 20240812 Date Completed: 20240812 Latest Revision: 20240815
رمز التحديث: 20240815
مُعرف محوري في PubMed: PMC11319381
DOI: 10.1007/s00345-024-05123-w
PMID: 39133311
قاعدة البيانات: MEDLINE
الوصف
تدمد:1433-8726
DOI:10.1007/s00345-024-05123-w