Laparoscopic Management of a Small Bowel Herniation from an Ileal Conduit: Report of a Case and Review of the Literature

Title

Laparoscopic Management of a Small Bowel Herniation from an Ileal Conduit: Report of a Case and Review of the Literature

Creator

Coughlin L M; Orr D P

Publisher

Surgical Laparoscopy Endoscopy & Percutaneous Techniques

Date

2013
2013-04

Description

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.

Subject

complications; Surgery; y gastric bypass; cystectomy; ileal conduit complications; internal hernia; internal hernias; mesenteric defect; radical; small bowel obstruction; urinary-diversion

Format

Journal Article or Conference Abstract Publication

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

E81-E83

Issue

2

Volume

23

Citation

Coughlin L M; Orr D P, “Laparoscopic Management of a Small Bowel Herniation from an Ileal Conduit: Report of a Case and Review of the Literature,” NEOMED Bibliography Database, accessed May 11, 2021, https://neomed.omeka.net/items/show/8978.

Social Bookmarking