지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 240 - 248 (9page)
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초록· 키워드
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Parastomal hernia, defined as an "incisional hernia related to an abdominal wall stoma", is a frequent complication after conduit urinary diversion that can negatively impact quality of life and present a clinically significant problem for many patients. Parastomal hernia (PH) rates may be as high as 65% and while many patients are asymptomatic, in some series up to 30% of patients require surgical intervention due to pain, leakage, ostomy appliance problems, urinary obstruction, and rarely bowel obstruction or strangulation. Local tissue repair, stoma relocation, and mesh repairs have been performed to correct PH, however, long-term results have been disappointing with recurrence rates of 30%–76% reported after these techniques. Due to high recurrence rates and the potential morbidity of PH repair, efforts have been made to prevent PH development at the time of the initial surgery. Randomized trials of circumstomal prophylactic mesh placement at the time of colostomy and ileostomy stoma formation have shown significant reductions in PH rates with acceptably low complication profiles. We have placed prophylactic mesh at the time of ileal conduit creation in patients at high risk for PH development and found it to be safe and effective in reducing the PH rates over the short-term. In this review, we describe the clinical and radiographic definitions of PH, the clinical impact and risk factors associated with its development, and the use of prophylactic mesh placement for patients undergoing ileal conduit urinary diversion with the intent of reducing PH rates.
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참고문헌 (49)
참고문헌 신청
Gerharz EW / 2005 / Quality of life after cystectomy and urinary diversion: an evidence based analysis / J Urol 174:1729~1736
Donahue TF / 2014 / Risk factors for the development of parastomal hernia after radical cystectomy / J Urol 191:1708~1713
Liu NW / 2014 / Incidence and risk factors of parastomal hernia in patients undergoing radical cystectomy and ileal conduit diversion / J Urol 191:1313~1318
Farnham SB / 2004 / Surgical complications of urinary diversion / World J Urol 22:157~167
Kouba E / 2007 / Incidence and risk factors of stomal complications in patients undergoing cystectomy with ileal conduit urinary diversion for bladder cancer / J Urol 178(3 Pt 1):950~954
Donahue TF / 2014 / Risk factors for the development of parastomal hernia after radical cystectomy / J Urol 191:1708~1713
Liu NW / 2014 / Incidence and risk factors of parastomal hernia in patients undergoing radical cystectomy and ileal conduit diversion / J Urol 191:1313~1318
Farnham SB / 2004 / Surgical complications of urinary diversion / World J Urol 22:157~167
Kouba E / 2007 / Incidence and risk factors of stomal complications in patients undergoing cystectomy with ileal conduit urinary diversion for bladder cancer / J Urol 178(3 Pt 1):950~954
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