[Transposition of the Stoma in Ileal Conduits: The "Trouble Shooting" Technique for Stomal Complications.]

[Transposition of the Stoma in Ileal Conduits: The "Trouble Shooting" Technique for Stomal Complications.] Aktuelle Urol. 2013 Dec 2; Authors: von Rundstedt FC, Degener S, Lazica DA, Roth S, Ubrig B Abstract To investigate stoma-related complications in ileal conduits we present a series of 4 patients in whom we performed a transposition of the conduit to the contralateral side as a surgical solution for large parastomal hernias.4 patients presented between 1998 and 2009 with large parastomal hernias, all in the right hemi-abdomen. A transposition to the contralateral side was carried out.The postoperative course was uneventful in all patients. After a median follow-up of 30 months all patients were free of complaints regarding the new stoma site. No patient presented with peristomal ulcerations or a recurrent hernia during the entire time of follow-up.The transposition of an existing conduit and the creation of a new contralateral ostomy site is an effective solution for patients suffering from severe local ostomy complications that are not manageable otherwise. PMID: 24297453 [PubMed - as supplied by publisher]
Source: Aktuelle Urologie - Category: Urology & Nephrology Authors: Tags: Aktuelle Urol Source Type: research