Risk factors for the development of parastomal hernia after radical cystectomy

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Donahue T.F., Bochner B.H., Sfakianos J.P., Kent M., Bernstein M., Hilton W.M., Cha E.K., Yee A.M., Dalbagni G., Vargas H.A.

Journal of Urology 2014 191:6 (1708-1713)

Purpose: Parastomal hernia is a frequent complication of stoma formation after radical cystectomy. We determined the prevalence and risk factors for the development of parastomal hernia after radical cystectomy. Materials and Methods: We conducted a retrospective study of 433 consecutive patients who underwent open radical cystectomy and ileal conduit between 2006 and 2010. Postoperative cross-sectional imaging studies performed for routine oncologic followup (1,736) were evaluated for parastomal hernia, defined as radiographic evidence of protrusion of abdominal contents through the abdominal wall defect created by forming the stoma. Univariable and multivariable Cox regression analyses were used to determine clinical and surgical factors associated with parastomal hernia. Results: Complete data were available for 386 patients with radiographic…(ver más)

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