Parastomal Hernia Repair

Parastomal hernias occur when the intestine protrudes through the weakened abdominal wall into the fascial defect around the stoma and into the subcutaneous tissue creating a bulge in the abdomen. Causes of a parastomal hernia include placement of the stoma outside the rectus sheath, a defect created in the abdominal wall through which the stoma protrudes, increased intra-abdominal pressure, location of the stoma in a midline incision, wound infection, and poor abdominal muscle tone. However, it is most often a complication as the result of a colostomy or ileostomy.

Treatment

The hernia may be repaired using a local fascial repair, a localized fascial repair with mesh, or by relocating the stoma. The treatment used will be determined by the doctor and will depend on your medical background, the size and location of the hernia and its intricacy.

Complications

You should contact the doctor immediately if you experience a persistent fever over 101 degrees, pain that is not relieved by medication, increased swelling at the incision site, chills, persistent nausea or vomiting, redness surrounding the incision that is worsening, pus drainage from the incision, or have an inability to eat or drink. Complications can include possible nerve damage and the recurrence of another hernia.