Academic Journal
Parastomal hernia after robot-assisted cystectomy and ileum conduit: incidence, risk or protective factors and outcomes of minimal-invasive hernia repair-systematic review.
| Τίτλος: | Parastomal hernia after robot-assisted cystectomy and ileum conduit: incidence, risk or protective factors and outcomes of minimal-invasive hernia repair-systematic review. |
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| Συγγραφείς: | Buse S; Urology Department, Alfried Krupp Hospital, Hellweg 100, Essen, 45276, Germany. stephan.buse@krupp-krankenhaus.de.; Clinic and Polyclinic for Urology and Pediatric Urology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. stephan.buse@krupp-krankenhaus.de., Neldner J; Clinic and Polyclinic for Urology and Pediatric Urology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany., Rachubinski P; Urology Department, Alfried Krupp Hospital, Hellweg 100, Essen, 45276, Germany., Hosseini-Aliabad A; Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden., Reitz A; Clinic and Polyclinic for Urology and Pediatric Urology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.; KontinenzZentrum AG, Klinik Hirslanden, Zurich, Switzerland., Haferkamp A; Clinic and Polyclinic for Urology and Pediatric Urology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany., Almansur K; Urology Department, Alfried Krupp Hospital, Hellweg 100, Essen, 45276, Germany. |
| Πηγή: | Journal of robotic surgery [J Robot Surg] 2026 Jun 16; Vol. 20 (1). Date of Electronic Publication: 2026 Jun 16. |
| Τύπος έκδοσης: | Journal Article; Systematic Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Country of Publication: England NLM ID: 101300401 Publication Model: Electronic Cited Medium: Internet ISSN: 1863-2491 (Electronic) Linking ISSN: 18632483 NLM ISO Abbreviation: J Robot Surg Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : Springer |
| Ιατρικοί όροι (MeSH): | Cystectomy*/methods , Cystectomy*/adverse effects , Robotic Surgical Procedures*/methods , Robotic Surgical Procedures*/adverse effects , Herniorrhaphy*/methods , Urinary Diversion*/methods , Urinary Diversion*/adverse effects , Incisional Hernia*/epidemiology , Incisional Hernia*/etiology , Incisional Hernia*/surgery , Postoperative Complications*/epidemiology , Postoperative Complications*/surgery , Postoperative Complications*/etiology , Minimally Invasive Surgical Procedures*/methods , Ileum*/surgery , Hernia, Ventral*/epidemiology , Hernia, Ventral*/etiology , Surgical Stomas*/adverse effects, Humans ; Risk Factors ; Incidence ; Treatment Outcome ; Protective Factors |
| Περίληψη: | Background and Aims: Incidence of and risk factors for parastomal hernia after robot-assisted (RA) cystectomy with ileum conduit (IC) are not well established. The aims of this systematic review were to summarize the literature (1) on the incidence of parastomal hernia after RA cystectomy and IC reconstruction; (2) on risk or protective factors associated with the development of parastomal hernias after RA cystectomy and IC reconstruction; and (3) on outcomes of minimal invasive parastomal hernia repair in patients with IC. Methods: we conducted literature searches in Medline, EMBASE, and CINHAL up to April 2025 without language restriction. Two independent assessors evaluated eligibility and quality of the included study. Due to high heterogeneity, meta-analysis was not attempted. Results: out of 368 records, 11 and 2 papers provided information on the incidence of parastomal hernia and on risk factors, respectively. For the outcome of minimal invasive IC hernia repair, 7 studies were included. Most studied presented high risk of bias and the incidence rate varied widely across studies. Similar findings were observed for hernia recurrence after minimal invasive hernia repair. Conclusion: A relevant proportion of patients may experience parastomal hernia of IC after RA-cystectomy, however incidence figures varied widely. Information on factors influencing the development of parastomal hernia after RA cystectomy is essentially lacking. Finally, the evidence on the outcome of minimal invasive hernia repair in IC patients is very limited both in terms of quantity and of quality. There is urgent need to address the knowledge gaps detected by this systematic review. Cooperation to achieve prospective multicentre designs with adequate sample size and systematic follow-up methods would be crucial factors to generate the high-quality data required to develop evidence-based strategies to prevent parastomal hernias. (© 2026. The Author(s).) |
| Competing Interests: | Declarations. Ethics approval and consent to participate: Not applicable (systematic review summarizing pooled estimates from published studies). Consent for publication: Not applicable (systematic review summarizing pooled estimates from published studies). Competing interests: Stephan Buse act as a proctor for Da Vinci Surgical Inc. The other authors do not report any competing interests. |
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| Contributed Indexing: | Keywords: Ileum conduit; Minimal-invasive hernia repair; Parastomal hernia; Robot-assisted cystectomy |
| Entry Date(s): | Date Created: 20260615 Date Completed: 20260615 Latest Revision: 20260726 |
| Update Code: | 20260726 |
| PubMed Central ID: | PMC13269518 |
| DOI: | 10.1007/s11701-026-03539-7 |
| PMID: | 42298072 |
| Βάση Δεδομένων: | MEDLINE |
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