What is a parastomal hernia?
A parastomal hernia occurs when part of the intestine or abdominal tissue protrudes through the abdominal wall near a stoma.
A stoma is an artificial opening created during ostomy surgery to divert bodily waste.
Parastomal hernias are a common complication of ostomy surgery and can cause discomfort or complications for individuals with an ostomy.
What are the symptoms of a parastomal hernia?
The most common symptom is a visible bulge or lump around the stoma. This bulge may become more prominent when standing, coughing, or straining. Other symptoms may include:
- Tenderness, or aching around the stoma, particularly when touching the bulge or engaging in activities such as lifting heavy objects.
- Skin irritation or breakdown of the skin around the stoma.
How do you treat a parastomal hernia?
Common treatment options for parastomal hernias include:
- Wearing a supportive ostomy belt or binder to help support the stoma and surrounding area.
- Surgical repair of symptomatic or enlarging parastomal hernias, as well as those at risk of complications such as bowel obstruction or strangulation. During surgery, the protruding tissue is repositioned, and the weakened abdominal wall is reinforced with stitches or a synthetic mesh.
What will increase my risk of developing a parastomal hernia?
Parastomal hernias often occur due to a weakness or defect in the abdominal wall near the stoma site, allowing tissue to protrude through.
Activities or conditions that increase pressure in the abdomen, such as obesity, heavy lifting, or chronic coughing, can increase the risk of developing a parastomal hernia.
Certain types of ostomies, such as colostomies or ileostomies, may be associated with a higher risk of developing parastomal hernias compared to others.
If you suspect you have a parastomal hernia, seeking medical attention is essential for proper diagnosis and treatment.