Parastomal hernias after cystectomy and ileal conduit urinary diversion: surgical treatment and the use of prophylactic mesh: a systematic review.

ABSTRACT:

Background

Parastomal hernia after ileal conduit urinary diversion is an underestimated and undertreated clinical entity, which heavily impairs patients' quality of life due to symptoms of pain, leakage, application or skin problems. As for all gastrointestinal stomata the best surgical repair technique has yet to be determined. Thereby, surgery for ileal conduit parastomal hernias poses some specific perioperative challenges. This review aims to give an overview of current evidence on the surgical treatment of parastomal hernia after cystectomy and ileal conduit urinary diversion, and on the use of prophylactic mesh at index surgery in its prevention.

Methods

A systematic review was performed according to PRISMA-guidelines. The electronic databases Embase, PubMed, Cochrane

SUBMITTER: Dewulf M 

PROVIDER: S-EPMC8966280 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature