PMC4303397_01
(A) Preoperative - incisional hernia visible; (B) ileal conduit; (C) biological mesh applied.
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His case was further complicated by a large incisional hernia (Figure 1A) secondary to a previous laparotomy for a perforated appendix. Upon cystectomy and prostatectomy, the left ureters were brought through the sigmoid mesentery (Figure 1B). A 20x25 cm porcine mesh was inserted (Figure 1C) and a window was made in the mesh to allow the conduit to pass through.
Postoperative photo of patient with ileal conduit in situ.
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The conduit was brought out in the right iliac fossa and everted (Figure 2).