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Radical cystectomy and pelvic lymphadenectomy with ileal conduit urinary diversion and abdominal wall reconstruction: an interesting case of multidisciplinary management

Authors Sofos S, Walsh C, Parr N, Hancock K

Received 21 January 2014

Accepted for publication 24 March 2014

Published 16 January 2015 Volume 2015:8 Pages 29—31

DOI https://doi.org/10.2147/IMCRJ.S61094

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Stratos S Sofos,1 Ciaran Walsh,2 Nigel J Parr,2 Kevin Hancock1

1Whiston Hospital, Prescot, 2Arrowe Park Hospital, Wirral, Merseyside, UK

Abstract: The ileal conduit for urinary diversion after radical cystectomy is a well-described procedure. Furthermore, parastomal hernias, prolapse, stenosis, and retraction of the stoma have been reported as some of the more common complications of this procedure. The subsequent repair of parastomal hernias with a biological mesh and the potential of the conduit to “tunnel” through it has also been described. In this case report, we present a combined repair of a large incisional hernia with a cystectomy and a pelvic lymphadenectomy for invasive bladder cancer, with the use of a biological mesh for posterior component abdominal wall primary repair as well as for support to the ileal conduit used for urinary diversion.

Keywords: incisional hernia, posterior component separation, biological mesh
 

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