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Jan 31, 2019

Seeking Relief for Parastomal Hernia Back Pain

This topic is about dealing with a parastomal hernia and the associated back pain, as well as planning for a stoma reversal surgery. A parastomal hernia can develop after an ileostomy, and it can cause discomfort and pain, especially after standing for long periods. Here are some insights and advice shared by others who have experienced similar situations:

- For immediate, non-surgical pain relief, try lying flat on your back. Relax and gently apply pressure to the hernia. This can help reduce the hernia and alleviate some of the discomfort.

- When considering surgical repair, it's possible to combine the stoma reversal and hernia repair in one operation. It's important to discuss with your surgeon the specific repair techniques and materials they plan to use. Some people have raised concerns about traditional polypropylene mesh due to potential complications. Alternatives like Gore Bio-A bioabsorbable mesh, which is fully absorbed in about six months, have been used with good results. There are other bio-mesh options, and in some cases, no mesh might be necessary.

- Before scheduling your reversal surgery, make sure any anastomotic leaks or other healing issues are fully resolved. Follow your bowel-prep instructions carefully, as this will involve frequent emptying of your pouch. Prepare a list of questions for your surgical team about the procedure, recovery process, and what to expect after the operation.

- One person shared their recovery experience after a colostomy reversal, which included sigmoid colon and jejunum resections. They were discharged 29 hours after the surgery, experienced immediate bowel function, and had a smooth recovery.
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