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 UNUSUAL CASE
Year : 2017  |  Volume : 13  |  Issue : 4  |  Page : 312-314

A case report of modified laparoscopic keyhole plus repair for parastomal hernia following ileal conduit


Department of Minimal Access Surgery, Gem Hospital and Research Centre, Coimbatore, Tamil Nadu, India

Correspondence Address:
Samrat V Jankar
Department of Minimal Access Surgery, Gem Hospital and Research Centre, 45, Pankaja Mills Road, Ramanathapuram, Coimbatore - 641 045, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_249_16

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Parastomal hernia is one of the most common but challenging complication after stoma formation. Modified Sugarbaker technique is the recommended procedure for repair parastomal hernia, however, keyhole repair technique had also been used in certain instances. In cases of parastomal hernia following ileal conduit procedure, the Sugarbaker technique is been described, although with associated theoretical risk of conduit failure. We are reporting a case of post-radical cystectomy with ileal conduit presented with symptomatic large parastomal hernia. Laparoscopic modified keyhole plus repair has been done successfully in this patient with no recurrence in 2 years of follow-up. The purpose of our case report is to describe our novel modification of the laparoscopic keyhole technique which can be a feasible and acceptable alternative surgical method in these types of patients.






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