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Jun 30, 2022

Seeking advice on peristomal hernia surgery success rate

This topic is about the experiences and concerns of someone preparing for their first peristomal hernia repair surgery. They are worried about potential complications and the chance of the hernia returning. They are seeking advice from others who have been through similar surgeries to understand if the procedure is beneficial.

Here are some insights and advice shared by others:

1. Recurrence is common: Many people with long-term ostomies report that peristomal hernias often come back, even after several repairs.

2. Varied outcomes: Experiences differ greatly. For instance, one person had their first repair fail within a year, but their second repair has lasted nearly 20 years. Another person has undergone six surgeries and still deals with hernias.

3. Choose an experienced surgeon: It's important to select a surgeon who has significant experience with peristomal hernia repairs, as the surgical technique is crucial for long-term success.

4. Post-operative care and healing:
- Strengthen your core as advised by your healthcare provider, both before and after surgery.
- Allow yourself extra time to heal, even after getting the all-clear from your doctor. Avoid heavy lifting and straining early in your recovery.
- Use a small pillow to support your abdomen when coughing, sneezing, or standing up.

5. Support garments: Get a hernia support belt before leaving the hospital. Nu-Hope hernia belts are specifically recommended.

6. Leakage and wafer issues: These often improve once the hernia bulge is reduced, but may return if the hernia does.

7. Possible complications: Some people have faced issues like fistulas, slow-healing wounds, the need for stoma relocation, bowel obstruction from large recurrent hernias, and in severe cases, being advised against further surgery.

8. Dietary changes: Adjusting your diet to include softer foods or liquids can help if a large recurrent hernia causes blockages or pain.

9. Emotional support: Many people offer empathy, encouragement, and prayers for those undergoing surgery and recovery.
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