This topic is about dealing with a parastomal hernia that has developed under the stoma after a successful cancer surgery. The person is considering whether to have surgery to repair the hernia or to continue using a hernia belt. They are seeking advice from others who have faced similar situations.
Here are some helpful insights and advice:
1. Surgical repair is an option, but its long-term success can be uncertain. Hernias often recur, especially for those with active lifestyles. Many surgeons suggest waiting until the hernia causes complications or becomes difficult to manage.
2. Some people prefer to "wait and watch" while using a support belt. This is a common and conservative approach.
3. It's wise to seek multiple opinions, especially from surgeons who specialize in abdominal-wall reconstruction. Consider getting at least one opinion from outside your primary hospital group to confirm the proposed treatment plan.
4. Keep a close eye on the stoma:
- A healthy stoma should remain its usual red color.
- If it turns pale or gray, this could indicate compromised blood flow and needs immediate medical attention.
- A black stoma is a sign of necrosis and is an emergency.
5. Determine if the hernia is reducible (can be pushed back in) or non-reducible (cannot be pushed in). A non-reducible hernia increases the risk of bowel strangulation and may require quicker surgical intervention.
6. Regarding hernia belts:
- Nu-Hope Corp belts are frequently recommended for their comfort and effectiveness. People use various widths, such as 2", 3", 4", and 6", with narrower belts (2"–3") often preferred for everyday comfort and sleeping.
- The belt should press the hernia in completely and should be worn consistently, even at night, if advised.
- Nu-Hope belts can be purchased without a prescription from Parthenon Corp, which can help avoid delays sometimes experienced with medical-supply companies.
7. Lifestyle adjustments, like avoiding heavy lifting and high-impact activities, can help reduce hernia growth and improve the success of any future repair.
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