Topic Explanation

The discussion centers around the experience of having multiple parastomal hernia surgeries. The original poster had an ileostomy that prolapsed and developed a parastomal hernia, which required surgery. The surgery involved moving the stoma to the other side of the abdomen, resulting in a colostomy. Now facing a mild parastomal hernia again, the poster is contemplating the possibility of undergoing a second surgery, especially given the complications experienced during the first surgery, such as a blood transfusion and kidney issues. The poster is seeking insights from others who may have undergone multiple hernia surgeries.

Advice and Insights

1. Elective vs. Emergency Surgery:
- It is generally better to opt for elective surgery rather than waiting for an emergency situation, which could lead to unplanned surgery by an unknown surgeon.

2. Choosing the Right Surgeon:
- Finding a surgeon who is experienced and willing to take on the case for the right reasons is crucial. The patient should also be mentally, spiritually, and medically prepared for the surgery.

3. Personal Experiences with Multiple Surgeries:
- Some individuals have undergone multiple hernia repairs, with varying degrees of success. One person reported a successful second repair that has lasted approximately 20 years.
- Another shared a history of numerous surgeries, emphasizing the importance of having a skilled surgeon.

4. Conservative Management:
- For hernias that are not symptomatic, conservative management is often recommended. This includes observation and the use of a hernia support belt to provide support to the abdominal wall.

5. Support Belts:
- Wearing a support belt consistently can help manage a mild parastomal hernia. Nu-Hope belts are recommended for their comfort and customization options.
- The Nu-Comfort support belt is specifically mentioned as a good option.

6. Risks of Additional Surgery:
- Each surgery can further weaken the abdominal wall, increasing the likelihood of another hernia. If the hernia is not affecting stoma function or appliance use, it may be best to leave it alone.

7. Pouching Systems:
- Some convex products can cause pressure-related skin or stomal damage. Flexible, low-profile, or flangeless pouching systems, such as the Coloplast SenSura Mio Convex Flip, are recommended for those with a parastomal hernia.