title: [Transposition of the stoma in ileal conduits: the "trouble shooting" technique for stomal complications].
abstract: OBJECTIVE
  To investigate stoma-related complications in ileal conduits we present a series of 4 patients in whom we performed a transposition of the conduit to the contralateral side as a surgical solution for large parastomal hernias.
  
  
  METHODS
  4 patients presented between 1998 and 2009 with large parastomal hernias, all in the right hemi-abdomen. A transposition to the contralateral side was carried out.
  
  
  RESULTS
  The postoperative course was uneventful in all patients. After a median follow-up of 30 months all patients were free of complaints regarding the new stoma site. No patient presented with peristomal ulcerations or a recurrent hernia during the entire time of follow-up.
  
  
  CONCLUSIONS
  The transposition of an existing conduit and the creation of a new contralateral ostomy site is an effective solution for patients suffering from severe local ostomy complications that are not manageable otherwise.
authors.affiliation: Klinik für Urologie und Kinderurologie, Helios Klinikum Wuppertal, Universität Witten-Herdecke.
authors.forename: F C
authors.initials: FC
authors.lastname: von Rundstedt
authors.affiliation: Klinik für Urologie und Kinderurologie, Helios Klinikum Wuppertal, Universität Witten-Herdecke.
authors.forename: S
authors.initials: S
authors.lastname: Degener
authors.affiliation: Klinik für Urologie und Kinderurologie, Helios Klinikum Wuppertal, Universität Witten-Herdecke.
authors.forename: D A
authors.initials: DA
authors.lastname: Lazica
authors.affiliation: Klinik für Urologie und Kinderurologie, Helios Klinikum Wuppertal, Universität Witten-Herdecke.
authors.forename: S
authors.initials: S
authors.lastname: Roth
authors.affiliation: Klinik für Urologie, Augusta-Kranken-Anstalt GmbH, Bochum.
authors.forename: B
authors.initials: B
authors.lastname: Ubrig
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D011391:Prolapse; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014547:Urinary Diversion