Medically reviewed by Andrew Gonzalez, M.D., J.D., MPH — created by Erica Hersh — update on march 8, 2019

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You are watching: Living with a parastomal hernia

Parastomal hernias happen when component of your intestines stick out v a stoma. A stoma is a operation made opened in her stomach, small bowel, or colon that allows you to happen waste right into a bag. This is sometimes essential when patients have gastrointestinal problems that prevent them from having normal bowel movements.

Up to 78 percent that people develop a parastomal hernia after surgery to produce a stoma, usually within two years the surgery.

Parastomal hernias normally develop and also grow gradually. As it develops, you might notice:

pain or discomfort about your stomatrouble maintaining your stoma appliance in placebulging roughly your stoma, specifically when you cough

Having a stoma periodically weakens your abdominal muscle muscles, causing them to pull away from the stoma. This procedure can result in a parastomal hernia. Numerous other factors can contribute to the breakthrough of a parastomal hernia, including:

smokingcorticosteroid useinfection after stoma surgeryobesity

Some human being have a higher risk of developing a parastomal hernia. Common risk factors include:

older agecancerrespiratory diseases

Your risk also increases if you’ve previously had an abdominal wall hernia.

In plenty of cases, parastomal hernias space treatable with lifestyle changes, such as shedding weight or quitting smoking. Wearing an ab support belt, choose this one, can also assist ease symptoms.

However, about 20 percent that parastomal hernias room severe sufficient to need surgical repair.

There are number of surgical repair alternatives for a parastomal hernia, including:

Closing the stoma. This is the best option because that repairing a parastomal hernia. It’s just an option for a tiny group of civilization who have sufficient healthy bowel left to reattach the end that develops the stoma.Repairing the hernia. In this kind of surgery, a surgeon opens the abdominal wall surface over the hernia and sews the muscle and other tissues together to small or close the hernia. This surgical treatment is most successful when the hernia is small.Relocating the stoma. In part cases, a stoma v a parastomal hernia have the right to be closed and a brand-new stoma have the right to be opened on another component of the abdomen. However, a new parastomal hernia can kind around the brand-new stoma.Mesh. Mesh inserts are right now the many common form of surgical parastomal hernia repair. Either fabricated or organic mesh deserve to be used. Biological mesh is frequently considered more comfortable, but is much an ext expensive. In this kind of repair, the hernia is repaired utilizing the same an approach as in other surgeries. Then, mesh is inserted either end the repaired stoma or below the abdominal muscle wall. Eventually, the mesh incorporates right into the tissue around it. This creates a solid area in the abdomen and helps avoid the hernia from forming again.

In some rare cases, the intestines can end up being trapped or twisted in the hernia. This blocks the intestine and also can bring about loss that blood supply. This is known as strangulation, which is a an extremely painful condition. Strangulation calls for emergency surgical treatment to untwist the intestine and also restore blood supply, so that the obstructed component of the intestine isn’t permanently damaged.

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Parastomal hernias space a usual complication the colostomies and ileostomies. In plenty of cases, they space asymptomatic or only reason slight discomfort and can be regulated effectively with lifestyle changes. In situations where surgical treatment is necessary, hernia repair through mesh support is the most reliable treatment.


Medically the evaluation by Andrew Gonzalez, M.D., J.D., MPH — composed by Erica Hersh — update on in march 8, 2019