Our Summary

This research paper discusses parastomal hernias, which are common complications that occur after an ostomy surgery. An ostomy is a procedure that creates an opening in the body for the discharge of body wastes. Parastomal hernias are bulges or protrusions that occur near the ostomy site.

The paper notes that these hernias are difficult to fix, and there’s not a one-size-fits-all solution because there are many different ways that surgeons can classify and treat them. This includes everything from stitching the hernia up to using a mesh to hold it in place.

However, despite the various methods of treatment, the paper says there’s not enough research out there to point to the best way to repair parastomal hernias. The authors describe the most popular techniques, discuss ways to prevent these hernias, and look at current research regarding surgery outcomes and chances of the hernia coming back.

FAQs

  1. What are parastomal hernias and how are they related to ostomy formation?
  2. What are the most common techniques for parastomal hernia repair?
  3. What does the current literature say about the optimal method of parastomal hernia repair and the risk of recurrence?

Doctor’s Tip

A doctor may advise a patient undergoing hernia repair to follow post-operative care instructions carefully, including avoiding heavy lifting and strenuous activities for a certain period of time to allow for proper healing. Additionally, maintaining a healthy weight, avoiding smoking, and practicing good nutrition can help prevent complications and reduce the risk of hernia recurrence. It is important for patients to communicate any concerns or changes in their condition to their healthcare provider to ensure a successful recovery.

Suitable For

Patients who are typically recommended hernia repair are those with symptomatic hernias, including pain, discomfort, and potential complications such as bowel obstruction or strangulation. Patients with parastomal hernias, which are hernias that occur around an ostomy site, are also often recommended for repair due to the risk of hernia enlargement and potential difficulties in managing the ostomy. In some cases, patients with asymptomatic hernias may also be recommended for repair to prevent potential complications in the future. Ultimately, the decision to undergo hernia repair is made on a case-by-case basis after thorough evaluation by a healthcare provider.

Timeline

Before hernia repair:

  • Patient may experience symptoms such as pain, discomfort, bulging or protrusion at the site of the hernia
  • Consultation with a healthcare provider to discuss treatment options and risks
  • Preoperative assessments and tests to evaluate the hernia and overall health of the patient
  • Surgery scheduling and preparation, including fasting and medication adjustments

After hernia repair:

  • Recovery period with pain management and wound care
  • Follow-up appointments with the surgeon to monitor healing and address any concerns
  • Gradual return to normal activities and exercise as advised by the healthcare provider
  • Long-term monitoring for potential hernia recurrence and complications

Overall, the timeline for a patient before and after hernia repair can vary depending on the individual’s health status, the type of hernia, and the chosen surgical technique. It is important for patients to follow their healthcare provider’s instructions and attend follow-up appointments to ensure a successful recovery.

What to Ask Your Doctor

  1. What type of hernia do I have and what are the potential risks and complications associated with it?
  2. What are the different treatment options available for hernia repair and which one do you recommend for me?
  3. How long will the recovery process take and what can I expect during the recovery period?
  4. What are the potential long-term effects of not getting the hernia repaired?
  5. How likely is it that the hernia will come back after repair and what can be done to prevent recurrence?
  6. Are there any lifestyle changes or precautions I should take after the hernia repair surgery?
  7. What is your experience and success rate with performing hernia repair surgeries?
  8. Are there any alternative or less invasive treatments available for hernia repair?
  9. What are the potential risks and complications associated with the specific type of hernia repair surgery you are recommending?
  10. Are there any specific post-operative care instructions or follow-up appointments I should be aware of?

Reference

Authors: Fleming AM, Wood EH. Journal: Adv Surg. 2024 Sep;58(1):107-119. doi: 10.1016/j.yasu.2024.04.007. Epub 2024 May 16. PMID: 39089771