{
    "abstract": "To report and evaluate our open surgical technique for the treatment of parastomal hernias (PSH) after ileal conduit urinary diversion and results using a specifically designed, three-dimensional intraperitoneal onlay mesh aiming to minimize PSH recurrence and perioperative complications.\nWe retrospectively evaluated all patients who developed a PSH after ileal conduit urinary diversion and were treated with the 3-dimensional alloplastic IPST mesh at the Marien Hospital Herne, Ruhr-University Bochum, Germany between 01/2009 and 12/2015. As a surgical approach, we used a small, open incision in order to reduce the hernia sac and place the mesh. Subsequently, we performed a voluntary follow-up of the surviving patients to evaluate long-term recurrence and complication rates. In addition, we conducted a reassessment of the cross-sectional imaging available.\nBetween January 2009 and December 2015, 40 patients underwent hernia repair due to a clinically significant hernia. Out of those patients, 1 suffered from a postoperative wound infection. In total 27 patients participated in a voluntary follow-up with a median follow-up period of 29 months (IQR 16, 63 months). Follow-up examination revealed 2 cases of recurrent PSH (7, .4%), 2 patients who developed stoma stenosis (7.4%) and 5 patients who suffered from minor complications (18.5%).\nOur localized open surgical approach using a 3-dimensional mesh implant presents an effective method of treating a PSH with a low complication and recurrence rate.",
    "authors": [
        {
            "affiliation": "Department of Urology, Marien Hospital, Ruhr-University Bochum, Herne, Germany. Electronic address: karl.tully@elisabethgruppe.de.",
            "firstname": "Karl H",
            "initials": "KH",
            "lastname": "Tully"
        },
        {
            "affiliation": "Department of Urology, Marien Hospital, Ruhr-University Bochum, Herne, Germany.",
            "firstname": "Florian",
            "initials": "F",
            "lastname": "Roghmann"
        },
        {
            "affiliation": "Department of Urology, Marien Hospital, Ruhr-University Bochum, Herne, Germany.",
            "firstname": "Jobst",
            "initials": "J",
            "lastname": "Pastor"
        },
        {
            "affiliation": "Department of Urology, Marien Hospital, Ruhr-University Bochum, Herne, Germany.",
            "firstname": "Joachim",
            "initials": "J",
            "lastname": "Noldus"
        },
        {
            "affiliation": "Department of Urology, Marien Hospital, Ruhr-University Bochum, Herne, Germany.",
            "firstname": "Christian",
            "initials": "C",
            "lastname": "von Bodman"
        }
    ],
    "conclusions": "Our localized open surgical approach using a 3-dimensional mesh implant presents an effective method of treating a PSH with a low complication and recurrence rate.",
    "copyrights": "Copyright \u00a9 2019 Elsevier Inc. All rights reserved.",
    "doi": "10.1016/j.urology.2019.05.006",
    "journal": "Urology",
    "keywords": [],
    "methods": null,
    "publication_date": "2019-05-28",
    "pubmed_id": "31129194",
    "results": "Between January 2009 and December 2015, 40 patients underwent hernia repair due to a clinically significant hernia. Out of those patients, 1 suffered from a postoperative wound infection. In total 27 patients participated in a voluntary follow-up with a median follow-up period of 29 months (IQR 16, 63 months). Follow-up examination revealed 2 cases of recurrent PSH (7, .4%), 2 patients who developed stoma stenosis (7.4%) and 5 patients who suffered from minor complications (18.5%).",
    "title": "Parastomal Hernia Repair With 3-D Mesh Implants After Radical Cystectomy and Ileal Conduit Urinary Diversion - A Single-center Experience Using a Purpose Made Alloplastic Mesh Implant.",
    "xml": "<Element 'PubmedArticle' at 0x788504996ac0>"
}