ArticleHernia : the journal of hernias and abdominal wall surgery2026
Open retromuscular keyhole for parastomal hernia repair after ureteroileostomy: surgical technique and long-term outcomes.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundParastomal hernia (PSH) repair following ureteroileostomy (Bricker's technique) presents unique anatomical challenges, as short ileal conduits often preclude safe stoma lateralization. This study describes the open surgical technique and long-term outcomes of a retromuscular repair utilizing transversus abdominis release (TAR) and a keyhole mesh configuration.
methodsWe conducted a retrospective analysis of a prospective institutional registry including all consecutive patients undergoing elective open PSH repair after ureteroileostomy between 2019 and 2023. All procedures utilized an open retromuscular keyhole mesh placement with a right-sided TAR. Primary outcomes included 30-day complications (Clavien-Dindo classification) and long-term recurrence.
resultsFourteen male patients (mean age 75.4 years; mean BMI 28.0 kg/m
conclusionThe retromuscular keyhole technique for parastomal hernia repair following ureteroileostomy is feasible but carries high perioperative morbidity, and comparable long-term recurrence to other studies. Randomized trials are required to provide a higher level of evidence.
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