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Surgical Outcomes after Laparoscopic Repairs of Para-colostomy Hernia and Para-ileal-conduit Hernia: A Comparative Study.
J Anus Rectum Colon
October 2024
Department of Surgery, The Jikei University Hospital, Tokyo, Japan.
Article Synopsis
- The study aimed to compare clinical characteristics and surgical outcomes between para-colostomy hernia (PCH) and para-ileal-conduit hernia (PICH) following laparoscopic repairs using data from 41 cases at Jikei University Daisan Hospital.
- Results indicated no significant differences in patient backgrounds or hernia features, but PICH had a higher rate of severe intra-abdominal adhesions (60% vs. 23%) and longer operation times (223 minutes vs. 158 minutes).
- The findings suggest that PICH repairs are more challenging due to these factors, highlighting the need for separate discussions on surgical outcomes for different types of stomas.
Robotic extraperitoneal stoma closure with left hemicolectomy for descending colon cancer following abdominoperineal resection: A case report.
Asian J Endosc Surg
October 2024
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Nagoya City University, Nagoya City, Japan.
Extraperitoneal colostomy is often selected to reduce the risk of parastomal hernia. However, its closure surgery is rare and seldom reported. Here, we report our unique experience with robotic left hemicolectomy and extraperitoneal colostomy closure.
View Article and Find Full Text PDFRobotic parastomal hernia repair in Ileal-conduit patients: short-term results in a single-center cohort study.
Hernia
December 2024
Division of Colon and Rectal Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.
Purpose: To describe and evaluate safety and feasibility of the robotic modified Sugarbaker technique with intraperitoneal underlay mesh (IPUM) for repairing parastomal hernias associated with ileal conduits (ICPSH).
Methods: This retrospective, single-center cohort study analyzed data from 15 adult patients who underwent robotic ICPSH repair using the modified Sugarbaker IPUM technique between July 2021 and July 2023. The primary endpoints were hernia recurrence rates and 30-day morbidity.
An actinomycosis infection resembling peritoneal dissemination of rectal cancer: a case report.
Surg Case Rep
September 2024
Department of Surgery, Kochi Medical School, Kochi University, Kohasu, Oko-Cho, Nankoku, Kochi, 783-8505, Japan.
Article Synopsis
- Actinomycosis, an uncommon and inflammatory infection usually caused by Actinomyces israelii, can be difficult to diagnose, especially in patients with a history of abdominal cancer due to lack of specific symptoms.
- A 72-year-old man with multiple abdominal surgeries for rectal cancer developed a mass that was initially thought to be a cancer recurrence, but it was later identified as an actinomyces infection after surgical resection.
- This case underscores the importance of careful histopathological evaluation of abdominal masses before initiating chemotherapy, particularly in patients with previous cancer treatments.
Robotic parastomal hernia repair: A single-center cohort study.
Updates Surg
November 2024
Department of Colon and Rectal Surgery, Mayo Clinic, 200 First St. Southwest, Rochester, MN, 55905, USA.
Parastomal hernia is a common occurrence following stoma construction, necessitating surgical intervention in symptomatic cases. This study presents a comprehensive analysis of Robotic-Assisted Parastomal Hernia Repair (r-PSHR), utilizing the Da Vinci Xi™ Surgical System. Retrospective analysis was conducted on patients undergoing r-PSHR at a high-volume center.
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