Laparoscopic Repair of Parastomal Hernias of Ileal Conduits: A Case Series

Philip J Davis, MD, Denis R Klassen, MD. Dalhousie University

 

Background: In recent years laparoscopic repair of parastomal hernias of ileal conduits has evolved. To date, relatively little outcome data has been published on this repair. Here we present our experience with this repair over a five-year period.

Methods: From July 2005 thru October 2010, eleven repairs of parastomal hernias of ileal conduits were preformed by a single surgeon (DK). Charts were reviewed in order to determine patient demographics (age, sex and BMI), operative details (operative time, conversion, satellite defect repair, and blood loss), and post-operative outcomes (length of stay, complications and recurrence).

Results: In the 11 repairs, 8 were successfully completed laparoscopically, while 3 required conversion to laparotomy. Mean age was 63.9 years (range 49-79); mean BMI was 26.7 kg/m2 (range 22.4-30.8), with a 63.6% female preponderance. Average operating time was 189.1 minutes (range 140-350), with an average blood loss of 53.6 cc (range 20-100). Average length of stay was 6.3 days (range 1-12 days). Average follow-up was 19.1 months (range 1-62), with 3 patients developing a recurrent parastomal hernia. One recurrence was secondary to a mesh infection necessitating removal and repair with a biologic mesh. All recurrences have undergone subsequent repair.

Conclusions: Laparoscopic repair of parastomal hernias of ileal conduits appears safe and is an evolving technique.


Session Number: Poster – Poster Presentations
Program Number: P304
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