Prophylactic surgical mesh placement as a prevention of parastomal hernia in open radical cystectomy with ileal conduit diversion – pilot study

Czech version

Authors: M. Louda ^1,2; P. Navrátil ^1,2; Š. Šachová ¹; L. Holub ^1,2; A. Fibír ^2,3; M. Balík ^1,2; M. Broďák ^1,2
Authors‘ workplace: Urologická klinika, Fakultní nemocnice Hradec Králové, Česká republika ¹; Lékařská fakulta v Hradci Králové, Univerzita Karlova, Česká republika ²; Chirurgická klinika, Fakultní nemocnice Hradec Králové, Česká republika ³
Published in: Rozhl. Chir., 2024, roč. 103, č. 3, s. 91-95.
Category: Original articles
doi: https://doi.org/10.33699/PIS.2024.103.3.91–95

Overview

Introduction: This study examines the efficacy of prophylactic mesh implantation during open radical cystectomy with ileal conduit diversion in preventing parastomal hernias (PH). Despite PH being a common complication, prophylactic methods have been underexplored.

Methods: A pilot, single-center, prospective cohort study was conducted involving five patients undergoing surgery with mesh implantation. Demographic and clinical characteristics were monitored, including the incidence of PH, operation time, blood loss, and hospitalization duration.

Results: During the mean follow-up period of 9.1±3.2 months post-operation, no occurrences of PH were observed in the patient group. Despite the risks associated with implanting foreign material in an area of surgery involving open small intestine, no infectious complications were noted. Conclusion: Prophylactic mesh implantation in radical cystectomy with ileal conduit diversion appears to be an effective preventive measure against PH. Further extensive studies are required to definitively confirm the efficacy and safety of mesh use in this context.

Keywords:

ileal conduit – mesh – radical cystectomy – parastomal hernia – Bricker derivation

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MUDr. Miroslav Louda, Ph.D., MBA
Urologická klinika
Fakultní nemocnice Hradec Králové
Sokolská 581
500 05 Hradec Králové
e-mail: miroslav.louda@fnhk.cz

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Article was published in

Perspectives in Surgery

2024 Issue 3