Page 8 - OASC July 2021 Newsletter

The best surgical approach for hernia is still debated, but in general favours reinforcing the abdominal wall with a prosthetic mesh. The specific surgical technique involved varies with the practice preferred by the surgeon or medical centre.
PARASTOMAL HERNIA
By Jo-Ann L. Tremblay, in OCS Ask an Ostomy Lifestyle Expert.
A parastomal hernia is one of the most common long-term complications after an abdominal ostomy. The overall incidence of parastomal hernia is unknown, but it is estimated to be over 30% by 12 months, 40% by 2 years and 50% or higher at longer duration. Some estimates state up to 78% of people develop a parastomal hernia after surgery, usually within two years. [That number may be higher than reported in the literature as limited studies are available.]
There are several surgical repair options for a parastomal hernia including:
Closing the stoma: This option is available for people with enough healthy bowel left to reattach the end that forms the stoma.
Repairing the hernia: In this type of surgery, a surgeon opens the abdominal wall over the hernia and sews the muscle and other tissues together to narrow or close the hernia. This surgery is most success- ful when the hernia is small.
Relocating the stoma: In some cases, a stoma with a parastomal hernia can be closed and a new stoma can be opened on another part of the abdomen. However, a new parastomal hernia can form around the new stoma.
Mesh: Mesh inserts are currently the most common type of surgical parastomal hernia repair. Either synthetic or biological mesh can be used. The biological mesh is often considered more comfortable.
cont’d on page 11...
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