Our Summary

This research study discusses a new way of treating hernias in patients with neurogenic bladder (a bladder dysfunction caused by neurological damage). These patients often develop hernias around their stoma (artificial opening for waste removal) and traditionally, these hernias are repaired through a major surgical procedure called a laparotomy. However, this approach is associated with significant risks and complications.

The study describes a new technique that uses laparoscopic surgery (a minimally invasive procedure using small incisions and a camera) to repair the hernia and reposition the stoma. The procedure starts with the surgeon separating the stoma from the surrounding tissues and then repairing the hernia using a mesh. The stoma is then relocated through one of the small incisions made for the laparoscopic procedure.

The researchers tested this new procedure on 4 patients, two with a type of stoma that can be used with a catheter and two with a type of stoma without catheter use. While one patient did experience the hernia returning, which was then repaired using the same laparoscopic procedure, and another patient’s hernia couldn’t be repaired laparoscopically due to significant scar tissue, the overall results were promising. The relocated stomas functioned normally even two years after the procedure.

In conclusion, the study suggests that this laparoscopic method of hernia repair and stoma repositioning is as effective as traditional open surgery, but with the added benefits of being less invasive and having fewer associated risks.

FAQs

  1. What is the new technique for treating hernias in patients with neurogenic bladder?
  2. How successful was the new laparoscopic procedure for hernia repair and stoma repositioning in the research study?
  3. How does the laparoscopic method of hernia repair and stoma repositioning compare to the traditional open surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic hernia repair is to follow post-operative care instructions carefully to promote healing and prevent complications. This may include avoiding strenuous activities, lifting heavy objects, and following a specific diet. It is also important to attend follow-up appointments with your surgeon to monitor your recovery progress.

Suitable For

Patients with neurogenic bladder who develop hernias around their stoma are typically recommended for laparoscopic hernia repair using this new technique. This approach may be particularly beneficial for patients who are at higher risk for complications with traditional open surgery, such as those with significant scar tissue or other medical comorbidities.

Timeline

Before the laparoscopic hernia repair, a patient with a neurogenic bladder and hernia around their stoma may have experienced discomfort, pain, and potential complications related to the hernia. They may have undergone traditional laparotomy surgery to repair the hernia, which comes with higher risks and longer recovery time.

After the laparoscopic hernia repair, the patient experiences a minimally invasive procedure with smaller incisions and a faster recovery time. The stoma is repositioned and the hernia is repaired using a mesh, reducing the risk of recurrence. The patient may experience improved comfort and functionality of the stoma, with fewer complications compared to traditional surgery. The study shows promising results in terms of long-term efficacy and patient outcomes.

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic hernia repair include:

  1. What are the benefits of laparoscopic hernia repair compared to traditional open surgery?
  2. Am I a suitable candidate for laparoscopic hernia repair?
  3. What are the potential risks and complications associated with this procedure?
  4. How long is the recovery time after laparoscopic hernia repair?
  5. Will I need to make any lifestyle changes or follow any specific post-operative instructions?
  6. How many of these procedures have you performed, and what is your success rate?
  7. What measures will be taken to ensure the hernia does not return after the repair?
  8. What are the expected long-term outcomes of the laparoscopic hernia repair?
  9. Will I need any follow-up appointments or tests after the procedure?
  10. Are there any alternative treatment options I should consider?

Reference

Authors: Stout TE, Kasabwala K, Leslie DB, Elliott SP. Journal: Urology. 2021 Jun;152:199. doi: 10.1016/j.urology.2021.01.020. Epub 2021 Jan 20. PMID: 33484824