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Text
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URL Address
<a href="http://doi.org/10.1097/SLE.0b013e31827692c8" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/SLE.0b013e31827692c8</a>
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Pages
E81-E83
Issue
2
Volume
23
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Title
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Laparoscopic Management of a Small Bowel Herniation from an Ileal Conduit: Report of a Case and Review of the Literature
Publisher
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Surgical Laparoscopy Endoscopy & Percutaneous Techniques
Date
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2013
2013-04
Subject
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complications; Surgery; y gastric bypass; cystectomy; ileal conduit complications; internal hernia; internal hernias; mesenteric defect; radical; small bowel obstruction; urinary-diversion
Creator
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Coughlin L M; Orr D P
Description
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Bladder carcinoma can be treated with cystectomy and urinary diversion. Ileal conduit is a popular technique, originally performed with closure of all mesenteric and peritoneal defects to minimize internal herniation. Recent advances in laparoscopic and robotic techniques often leave these defects open. We present a case of a 75-year-old gentleman with a small bowel entrapment underneath an intraperitoneal ileal conduit and ureter causing obstruction. This internal hernia occurred 2 months after undergoing a DaVinci robotic-assisted laparoscopic cystoprostatectomy with an ileal conduit. Bowel obstruction is an important complication associated with the need for reoperation and patient mortality. Historical review shows a precedent for closure of the mesenteric defect, obliterating the peritoneal defect in the right lumbar gutter, and suturing the ileal conduit to the posterior peritoneum to prevent potential internal hernias. The literature involving ileal conduits is examined for consensus on the preferred method of treating these potential spaces.
Identifier
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<a href="http://doi.org/10.1097/SLE.0b013e31827692c8" target="_blank" rel="noreferrer noopener">10.1097/SLE.0b013e31827692c8</a>
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Journal Article or Conference Abstract Publication
2013
complications
Coughlin L M
cystectomy
ileal conduit complications
internal hernia
internal hernias
Journal Article or Conference Abstract Publication
mesenteric defect
Orr D P
Radical
small bowel obstruction
Surgery
Surgical Laparoscopy Endoscopy & Percutaneous Techniques
urinary-diversion
y gastric bypass