Rajapandian S, Jankar Samrat V, Dey Sumanta, Annamaneni Vikram, Sabnis Sandeep C, Sathiymurthy S, Parthsarathi R, Raj P Praveen, Senthilnathan P, Palanivelu C
Department of Minimal Access Surgery, Gem Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
J Minim Access Surg. 2017 Oct-Dec;13(4):312-314. doi: 10.4103/jmas.JMAS_249_16.
Parastomal hernia is one of the most common but challenging complication after stoma formation. Modified Sugarbaker technique is the recommended procedure for repair parastomal hernia, however, keyhole repair technique had also been used in certain instances. In cases of parastomal hernia following ileal conduit procedure, the Sugarbaker technique is been described, although with associated theoretical risk of conduit failure. We are reporting a case of post-radical cystectomy with ileal conduit presented with symptomatic large parastomal hernia. Laparoscopic modified keyhole plus repair has been done successfully in this patient with no recurrence in 2 years of follow-up. The purpose of our case report is to describe our novel modification of the laparoscopic keyhole technique which can be a feasible and acceptable alternative surgical method in these types of patients.
造口旁疝是造口形成后最常见但具有挑战性的并发症之一。改良Sugarbaker技术是修复造口旁疝的推荐手术方法，然而，在某些情况下也使用了锁孔修补技术。在回肠代膀胱术后发生造口旁疝的病例中，描述了Sugarbaker技术，尽管存在导管失败的相关理论风险。我们报告一例根治性膀胱切除术后回肠代膀胱出现有症状的大型造口旁疝的病例。该患者成功进行了腹腔镜改良锁孔加修补术，随访2年无复发。我们病例报告的目的是描述我们对腹腔镜锁孔技术的新颖改良，这可以成为这类患者可行且可接受的替代手术方法。
