Santos Catarina R, Santos Ligia, Sousa Luís, Caetano Zara
General Surgery, Centro Hospitalar Barreiro Montijo, Barreiro, PRT.
Cureus. 2025 Apr 19;17(4):e82576. doi: 10.7759/cureus.82576. eCollection 2025 Apr.
Parastomal hernia is a rare but significant complication following ileal conduit urinary diversion, often leading to impaired stoma function and patient discomfort. Surgical repair remains challenging due to anatomical constraints, particularly the posterior fixation of the conduit via the ureters, which can limit mobilization. Although traditionally deemed unsuitable for ileal conduit-related parastomal hernia, the Sugarbaker technique has demonstrated favorable outcomes in carefully selected cases. We present a case of a 66-year-old female who underwent successful parastomal hernia repair using the Sugarbaker technique with biological mesh, achieving an uneventful recovery and no recurrence at three months postoperatively. This case highlights the feasibility of this approach, contributing to the growing body of evidence supporting mesh-based techniques in complex parastomal hernia repairs.
造口旁疝是回肠代膀胱尿流改道术后一种罕见但严重的并发症，常导致造口功能受损和患者不适。由于解剖学限制，手术修复仍然具有挑战性，特别是导管通过输尿管的后固定，这可能会限制其活动度。尽管传统上认为Sugarbaker技术不适用于与回肠代膀胱相关的造口旁疝，但在精心挑选的病例中已显示出良好的效果。我们报告一例66岁女性患者，她采用Sugarbaker技术并使用生物补片成功进行了造口旁疝修补术，术后三个月恢复顺利且无复发。该病例突出了这种方法的可行性，为支持在复杂造口旁疝修补中使用基于补片技术的证据不断增加做出了贡献。
