Page 11 - OASC July 2021 Newsletter

In this type of repair, the hernia is repaired using the same technique as in other surgeries. Then,
the mesh is placed either over the repaired stoma or below the abdominal wall. Eventually, the mesh incorporates into the tissue around it. This creates a strong area in the abdomen and helps prevent the hernia from forming again.
HERNIA SUPPORT BELTS
By Andrea Manson, RN, BSN, NSWOC, NCA in OCS Ask an Ostomy Lifestyle Expert
Q: In Europe, hernia support belts with holes for the pouch are generally not recommended and are actually uncommon. The reverse seems to be true in North America. The argument against holes is that they recreate the situation that gave rise to the hernia in the first place and can make the hernia worse. Do you know of any studies that have compared these two types of hernia support belts?
A: Please see these articles and the references they list:
https://nswoc.ca/parastomal-care/ https://nswoc.ca/wp-content/uploads/2015/02/caet-parastomal-hernia-01.pdf
https://cdn.ymaws.com/www.wocn.org/resource/resmgr/Publications/ Stoma_Complications_Best_Pra.pdf .
In my experience, if I use a flexible pouching system and a hernia belt with a hole, “coning” or the abdominal wall pushing through the hole develops. I don’t recommend using a flexible pouching system with a hernia belt with a hole because of this “coning”. If a person is using a two-piece pouch- ing system or a one-piece pouching system with some ‘firmness’ such as convexity, I get very good results with a hernia belt with a hole. Some other important considerations when fitting a belt with a hole is to ensure the hole opening is the correct size for the pouching system. Also, if using a convex pouching system and any hernia belt, the peristomal skin must be monitored for pressure injury due to the pressure of the convexity against the skin with the pressure of the hernia belt. n
— Source; www.ostomycanada.ca
Reshape our thinking
The world is going through a period of crisis, but whether we look at it as a crisis or as an opportunity to reshape our thinking, depends on us. So use this period as a lesson on how to live life with a concern for all of humankind.
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— Abhijit Naskar
July/21