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Jan 11, 2016

Ileostomy relocalization and hernia repair - Any experiences?

This discussion is about the experiences of people who have had their ileostomy moved to the opposite side of their abdomen while also undergoing repair for a hernia or prolapse. The person who started the conversation is curious to know if others have had successful outcomes with this procedure.

Here are some shared experiences and advice from others:

1. Many people have had their stomas relocated, either from right to left or from lower right to upper left.
- Some have enjoyed long-term success without further issues after the relocation.
- Others have needed additional surgeries due to recurring hernias.

2. There are concerns about infections and issues with surgical mesh.
- One person experienced a serious mesh infection, developed abscesses, and had to have a significant portion of their small bowel removed. This led to the need for relocation.
- Another person had their hernia repaired without mesh, but the hernia returned and became larger.

3. Post-operative complications can include infections like C. difficile, prolonged recovery times, and secondary infections.

4. To reduce the risk of recurrence and take preventive measures:
- Maintain a healthy weight, as excess weight can increase the risk of hernias.
- Avoid heavy lifting and support your abdomen when coughing or sneezing.
- Consider using support or hernia belts, which some people find helpful in delaying or avoiding surgery.

5. Quality of life can improve with relocation.
- Some people find that moving the stoma to the opposite side improves the fit and comfort of their appliance.
- However, visible bulging from unrepaired or recurrent hernias can be hard to hide and may cause frustration.

6. It's important to have realistic expectations.
- Many people caution that dealing with parastomal hernias can be an ongoing challenge. While relocation can help, it may not be a permanent solution.
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