Illeal conduit associated parastomal hernias: A novel laparoscopic top hat repair

Parastomal hernias (PH) are a well-known complication following ileal conduit urinary diversion. We present a case report of a woman in her mid-nineties with a symptomatic parastomal hernia at the site of her ileal conduit which was repaired laparoscopically by an inverted top-hat technique. The “to...

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Main Authors:	Isaac M. Melin, Sergio M. Navarro, Jacob Albersheim, Khushabu Kasabwala, Christopher Weight, James V. Harmon, Jr.
Format:	Article
Language:	English
Published:	Elsevier 2021-11-01
Series:	Urology Case Reports
Subjects:	Parastomal hernia Ileal conduit Inverted top-hat repair Laparoscopic surgery
Online Access:	http://www.sciencedirect.com/science/article/pii/S2214442021001984

id	doaj-9cdaa33a09124c3c86bd681e8d897e3c
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spelling	doaj-9cdaa33a09124c3c86bd681e8d897e3c2021-10-07T04:25:20ZengElsevierUrology Case Reports2214-44202021-11-0139101758Illeal conduit associated parastomal hernias: A novel laparoscopic top hat repairIsaac M. Melin0Sergio M. Navarro1Jacob Albersheim2Khushabu Kasabwala3Christopher Weight4James V. Harmon, Jr.5Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI, 53226, USA; Corresponding author.University of Minnesota, Department of Surgery, 420 Delaware Street SE, Minneapolis, MN, 55455, USAUniversity of Minnesota, Department of Urology, 909 Fulton Street SE, Minneapolis, MN, 55414, USAUniversity of Minnesota, Department of Urology, 909 Fulton Street SE, Minneapolis, MN, 55414, USACleveland Clinic, Department of Urology, 9500 Euclid Avenue, Cleveland, OH, 44195, USAUniversity of Minnesota, Department of Surgery, 420 Delaware Street SE, Minneapolis, MN, 55455, USAParastomal hernias (PH) are a well-known complication following ileal conduit urinary diversion. We present a case report of a woman in her mid-nineties with a symptomatic parastomal hernia at the site of her ileal conduit which was repaired laparoscopically by an inverted top-hat technique. The “top hat” is constructed by assembling a transected ring of synthetic mesh with a secondary mesh cylinder and laparoscopically securing this mesh construct in an underlay fashion. At eighteen months follow-up, the patient remains pain free and without evidence of hernia recurrence.http://www.sciencedirect.com/science/article/pii/S2214442021001984Parastomal herniaIleal conduitInverted top-hat repairLaparoscopic surgery
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Isaac M. Melin Sergio M. Navarro Jacob Albersheim Khushabu Kasabwala Christopher Weight James V. Harmon, Jr.
spellingShingle	Isaac M. Melin Sergio M. Navarro Jacob Albersheim Khushabu Kasabwala Christopher Weight James V. Harmon, Jr. Illeal conduit associated parastomal hernias: A novel laparoscopic top hat repair Urology Case Reports Parastomal hernia Ileal conduit Inverted top-hat repair Laparoscopic surgery
author_facet	Isaac M. Melin Sergio M. Navarro Jacob Albersheim Khushabu Kasabwala Christopher Weight James V. Harmon, Jr.
author_sort	Isaac M. Melin
title	Illeal conduit associated parastomal hernias: A novel laparoscopic top hat repair
title_short	Illeal conduit associated parastomal hernias: A novel laparoscopic top hat repair
title_full	Illeal conduit associated parastomal hernias: A novel laparoscopic top hat repair
title_fullStr	Illeal conduit associated parastomal hernias: A novel laparoscopic top hat repair
title_full_unstemmed	Illeal conduit associated parastomal hernias: A novel laparoscopic top hat repair
title_sort	illeal conduit associated parastomal hernias: a novel laparoscopic top hat repair
publisher	Elsevier
series	Urology Case Reports
issn	2214-4420
publishDate	2021-11-01
description	Parastomal hernias (PH) are a well-known complication following ileal conduit urinary diversion. We present a case report of a woman in her mid-nineties with a symptomatic parastomal hernia at the site of her ileal conduit which was repaired laparoscopically by an inverted top-hat technique. The “top hat” is constructed by assembling a transected ring of synthetic mesh with a secondary mesh cylinder and laparoscopically securing this mesh construct in an underlay fashion. At eighteen months follow-up, the patient remains pain free and without evidence of hernia recurrence.
topic	Parastomal hernia Ileal conduit Inverted top-hat repair Laparoscopic surgery
url	http://www.sciencedirect.com/science/article/pii/S2214442021001984
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Illeal conduit associated parastomal hernias: A novel laparoscopic top hat repair

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