title: First report of the stapled mesh stoma reinforcement technique in a urologic context.
abstract: Parastomal hernia is a common complication of ileal conduit formation. Mesh repair of parastomal hernia has lower rate of recurrence than nonmesh techniques but can be time-consuming to perform. The stapled mesh stoma reinforcement technique (SMART) is a novel method of rapidly constructing a reinforced stapled stoma. We report the first case utilising this technique in a urologic context. The procedure was performed on a middle-aged female with recurrent parastomal hernia of her ileal conduit. There were no perioperative complications. The resited stoma remained healthy and functioned normally. Longer term data is clearly desirable though this technique deserves consideration in the treatment of urologic parastomal hernias. This case demonstrates that SMART is an easy and convenient procedure for parastomal hernia repair.
authors.affiliation: Fremantle Hospital and Health Service, Alma Street, Fremantle, WA 6160, Australia.
authors.forename: Dwayne Tun Soong
authors.initials: DT
authors.lastname: Chang
authors.affiliation: Fremantle Hospital and Health Service, Alma Street, Fremantle, WA 6160, Australia.
authors.forename: Isaac Andrew
authors.initials: IA
authors.lastname: Thyer
authors.affiliation: Fremantle Hospital and Health Service, Alma Street, Fremantle, WA 6160, Australia.
authors.forename: John Oliver
authors.initials: JO
authors.lastname: Larkin
authors.affiliation: Fremantle Hospital and Health Service, Alma Street, Fremantle, WA 6160, Australia ; School of Surgery, The University of Western Australia, Crawley, WA 6009, Australia.
authors.forename: Marina Helen
authors.initials: MH
authors.lastname: Wallace
authors.affiliation: Fremantle Hospital and Health Service, Alma Street, Fremantle, WA 6160, Australia ; School of Surgery, The University of Western Australia, Crawley, WA 6009, Australia.
authors.forename: Dickon
authors.identifier: 0000-0002-4094-401X
authors.initials: D
authors.lastname: Hayne