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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (02): 117-121. doi: 10.3877/cma.j.issn.1674-392X.2019.02.005

Special Issue:

• Original Article • Previous Articles     Next Articles

Observation of two surgical treatment approaches of Paraileostomal Herniorraphy

Yuanhao Chen1, Min Liu2, Jie Chen2, Yingmo Shen2, Xiuwu Han1,,(), Xin Zhang1, Gao Li1   

  1. 1. Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100043, China
    2. Department of Hernia and Abdominal Wall Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100043, China
  • Received:2018-10-12 Online:2019-04-18 Published:2019-04-18
  • Contact: Xiuwu Han
  • About author:
    Corresponding author: Han Xiuwu, Email:

Abstract:

objective

To evaluate the clinical outcome and urological complications of Keyhole surgery and hybrid technique in the treatment of paraileostomal herniorraphy.

Methods

A retrospective analysis of 30 cases of paraileostomal herniorraphy after radical cystectomy in Beijing Chao-Yang Hospital from January 2013 to January 2018 was conducted, including 16 cases with Keyhole approaches and 14 cases with hybrid technique. Clinical effects and characteristics and the serum creatinine level of pre/post-operative were compared.

Results

Two approaches showed no significant differences in age BMI, pre-operative serum creatinine level, post-operative serum creatinine level at 1 week, the duration time of hernia history, the duration time of hernia occurrence to surgery, size of hernia sac, length of hernia, hospitalization time, volume of intraoperative blood loss. Operation time in hybrid group was apparently longer than that in Keyhole group (P<0.05). Serum creatinine level at 1 d after operation showed significant difference between two approaches, and hybrid group were higher than Keyhole group. Bilateral hydronephrosis was not observed in Keyhole group. The incidence of two bilateral hydronephrosis was 3/14 in hybrid group: 2 patients occurred within first week after surgery. The bilateral hydronephrosis were relieved after catheter placement. 1 patient was diagnosed bilateral hydronephrosis at 2 months after surgery, which relieved by bilateral percutaneous nephrostomy.

Conclusion

Hybrid and Keyhole approaches were both effective approaches for paraileostomal herniorraphy, hybrid group are more likely to have bilateral hydronephrosis and short-term increased serum creatinine level after surgery, and however it can be resolved through the effective treatment in short time. We suggest that the serum creatinine level should be monitored at least one week after surgery. If the hydronephrosis were observed it should be resolved properly.

Key words: Parastomal hernia, Herniorraphy

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