title: Radical cystectomy and pelvic lymphadenectomy with ileal conduit urinary diversion and abdominal wall reconstruction: an interesting case of multidisciplinary management.
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.
authors: Whiston Hospital, Prescot, Merseyside, UK.
authors: Stratos S
authors: SS
authors: Sofos
authors: Arrowe Park Hospital, Wirral, Merseyside, UK.
authors: Ciaran J
authors: CJ
authors: Walsh
authors: Arrowe Park Hospital, Wirral, Merseyside, UK.
authors: Nigel J
authors: NJ
authors: Parr
authors: Whiston Hospital, Prescot, Merseyside, UK.
authors: Kevin
authors: K
authors: Hancock
keywords: biological mesh; incisional hernia; posterior component separation
references: Ostomy Wound Manage. 2004 Sep;50(9):68-77
references: 15361634
references: Br J Nurs. 2006 Sep 14-27;15(16):854-62
references: 17108855
references: Ostomy Wound Manage. 2010 Jan 1;56(1):28-35
references: 20093715
references: J Urol. 1982 Oct;128(4):811-2
references: 6216345