This topic is about dealing with a large parastomal hernia, which is causing discomfort and concern, especially regarding its impact on a planned Hartmann’s reversal surgery. Here are some helpful insights and advice shared by others who have faced similar situations:

- Many people have had their hernias repaired at the same time as their colostomy or Hartmann’s reversal. This is a common practice and often involves using mesh or a permanent suture system. It's important to discuss the options with your colorectal specialist, as some surgeons prefer different techniques.

- If your condition requires it, be prepared for the possibility of staged procedures, such as having a temporary loop ileostomy before the final reversal.

- The surgery can take a long time, sometimes up to 7 hours, and recovery might be tougher than expected. It's common to experience tenderness, a risk of infection, and deep pockets along the incision.

- Teaching hospitals or specialized colon-rectal units are recommended, especially if you have a complex case or a large hernia.

- Large hernias, like those the size of a melon, are generally less prone to strangulation due to their wide necks. The main issues are discomfort and cosmetic appearance.

- Support belts can be very helpful. Nu-Hope Hernia/Ostomy Belts are a popular choice, and they can be ordered through suppliers or directly. They often require a prescription for insurance coverage. Wearing a belt can slow hernia enlargement and improve comfort.

- If standard belts don’t fit, hospital orthotics departments can make custom ones. Some people also find that exercise resistance bands provide good daytime support.

- For cosmetic purposes, an extra-strong under-bust corset can help flatten the bulge under clothing, though it may not be comfortable for long periods.

- Starting Kegel and pelvic-floor exercises, with your surgeon’s approval, can strengthen internal support before and after the reversal.

- Following strict lifting restrictions and a low-residue diet can help prevent recurrence and ease postoperative bowel function.

- While some hernia repairs use synthetic mesh, long-term problems are rare. It's best to discuss any concerns with your surgeon.

- Feeling self-conscious is common, but loose clothing, belts, or corsets can help improve appearance and confidence. Hearing success stories from others can also provide hope and reassurance.