Abstract
Parastomal hernia is a common complication of ileal conduit formation. Mesh repair of parastomal hernia has lower rate of recurrence than nonmesh techniques but can be time-consuming to perform. The stapled mesh stoma reinforcement technique (SMART) is a novel method of rapidly constructing a reinforced stapled stoma. We report the first case utilising this technique in a urologic context. The procedure was performed on a middle-aged female with recurrent parastomal hernia of her ileal conduit. There were no perioperative complications. The resited stoma remained healthy and functioned normally. Longer term data is clearly desirable though this technique deserves consideration in the treatment of urologic parastomal hernias. This case demonstrates that SMART is an easy and convenient procedure for parastomal hernia repair.
Highlights
The stapled mesh stoma reinforcement technique (SMART) is a novel and quick method of constructing a reinforced stapled stoma to reduce the risk of future parastomal hernia formation
We report the first case utilising this technique in a urologic context
We report the first utilisation of the SMART procedure in a urologic context
Summary
Parastomal hernia is a complication in up to 29% of patients after ileal conduit diversion [1]. Parastomal hernia recurrence rates after surgical repair such as nonmesh fascial suture repair, onlay mesh repair, sublay mesh repair, and underlay mesh repair were reported up to 57.6%, 14.8%, 7.9%, and 9.2%, respectively [2]. Current mesh repair techniques for parastomal hernia can be time-consuming. The stapled mesh stoma reinforcement technique (SMART) is a novel and quick method of constructing a reinforced stapled stoma to reduce the risk of future parastomal hernia formation. We report the first case utilising this technique in a urologic context
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