Parastomal hernias only occur next to a previously placed "stoma" (colostomy, ileostomy etc.). When a stoma is created a hole is made in the strength layer of the abdominal wall (fascia) to allow for the end portion of intestine to be exteriorized. With time very often that hole gets stretched and may allow other abdominal contents to protrude to the space below the skin and alongside the stoma. Parastomal hernia repair can have a high recurrence rate unless performed by expert surgeons.
Symptoms and Diagnosis
Parastomal hernias present as a bulge on the abdominal wall next to a toma. The bulge can regress spontaneously in particular with rest or with applying pressure. These hernias can be accompanied with pain or a burning sensation that at times may radiate to other locations on the abdomen in particular after eating or with lifting heavy objects. Often, parastomal hernias are easily diagnosed with an examination by a physician. In case of uncertainty various radiographic studies can be used to make a diagnosis as well.
Treatment and Recovery
The only definitive treatment for a hernia is surgical repair. Exercise, pressure garments or "waiting it out" does NOT get rid of a hernia. Fortunately, surgery for parastomal hernias is extremely safe and effective. Great majority of surgeries are performed in less than an hour on outpatient basis with a fast recovery period. Many people can return to work in a few days. Some pain and soreness is expected but can be well controlled with oral pain medications.
Techniques for parastomal hernia repair
Parastomal hernia surgery is categorized into two main groups, open surgery and minimally invasive surgery.
- Open surgery is the "traditional" way of repairing hernias through a 3-30 inch incision on the abdomen. Usually it causes more pain and a slower recovery.
- Minimally invasive surgery (Laparoscopy, Robotics) is a more modern technique utilizing various small caliber instruments through very small incisions to repair the hernias. In our opinion minimally invasive techniques (Laparoscopy and Robotics) are superior and more advanced techniques as they allow for faster return to work, less pain and less post operative complications.
Prime Hernia Center
Prime Hernia Center
Over 5,000 Hernia Surgeries Performed
5 Star Rated
24241 Hawthorne Blvd Suite 201
Torrance, CA 90505