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Feb 05, 2024

Experiences with Parastomal Hernia Post-Op

This topic is about dealing with a parastomal hernia that has appeared shortly after ostomy surgery. The person sharing their experience is looking for advice and insights from others who might have gone through something similar. Here are some helpful points to consider:

1. Seek medical evaluation quickly:
- It's important to get in touch with your original surgeon or the stoma/colorectal team directly, rather than waiting for a referral.
- A CT scan is often used to confirm the presence of a hernia and to assess its size.

2. Avoid all lifting and straining:
- Refrain from lifting grocery bags, work-related loads, or anything that might cause abdominal strain. Even a single instance can worsen the hernia.
- Rest and avoiding heavy activities are key to preventing the hernia from getting larger or new ones from forming.

3. Use a supportive hernia belt:
- Consider using a Nu-Hope Hernia Support Belt, which is designed with a cut-out for the stoma and fits around the flange, providing gentle pressure and comfort for daily wear.
- Other stoma belts with an opening for the pouch can also help manage the bulge and prevent further growth.

4. Surgical repair options and outcomes:
- A simple stitch repair is an option but often fails, especially if lifting continues after surgery.
- Mesh reinforcement is a more durable solution, especially when stitch repair fails or if there are multiple hernias.
- Some people have their hernia repaired during other surgeries, such as a stoma reversal.

5. Real-life impact:
- Many people live with a parastomal hernia with minimal issues, aside from cosmetic concerns and restrictions on lifting.
- Those who continued heavy lifting at work often experienced worsening hernias and eventually needed mesh repair. They advise against lifting-heavy jobs.

6. Key take-away:
- Early professional assessment, avoiding strain, and using a well-fitted hernia belt are crucial strategies until or unless surgical repair is considered.
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