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Case Reports in Urology - Volume 2014 2014, Article ID 294304, 3 pages -

Case Report

Fremantle Hospital and Health Service, Alma Street, Fremantle, WA 6160, Australia

School of Surgery, The University of Western Australia, Crawley, WA 6009, Australia

Received 9 July 2014; Accepted 21 September 2014; Published 22 October 2014

Academic Editor: Christian Pavlovich

Copyright © 2014 Dwayne Tun Soong Chang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Parastomal hernia is a common complication of ileal conduit formation. Mesh repair of parastomal hernia has lower rate of recurrence than nonmesh techniques but can be time-consuming to perform. The stapled mesh stoma reinforcement technique SMART is a novel method of rapidly constructing a reinforced stapled stoma. We report the first case utilising this technique in a urologic context. The procedure was performed on a middle-aged female with recurrent parastomal hernia of her ileal conduit. There were no perioperative complications. The resited stoma remained healthy and functioned normally. Longer term data is clearly desirable though this technique deserves consideration in the treatment of urologic parastomal hernias. This case demonstrates that SMART is an easy and convenient procedure for parastomal hernia repair.

Autor: Dwayne Tun Soong Chang, Isaac Andrew Thyer, John Oliver Larkin, Marina Helen Wallace, and Dickon Hayne



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