Expert Care for Parastomal Hernias

Diagnosis & Treatment of Parastomal Hernias

The most common symptom of a parastomal hernia is pain, usually mild at first. There may or may not be a noticeable bulge near the site of the ostomy or difficulty keeping the stoma appliance in place. Not all parastomal hernias require surgery but if the hernia grows and the symptoms become unmanageable, surgical repair may be recommended.

The goal of surgery is to reduce discomfort and strengthen the weakened area of the hernia. Most parastomal hernias are repaired with surgical mesh reinforcement, using one of the following techniques:

• Laparoscopic surgery: The hernia is repaired through several very small incisions in the abdomen. This minimally invasive procedure typically results in less pain, a shorter hospital stay and a faster recovery compared to open surgery.
• Robotic surgery: Using the da Vinci robotic surgery system, the hernia is repaired through a few small incisions, with greater precision and range of motion than traditional laparoscopic hernia repair. Advantages of robotic surgery may include less blood loss, lower risk of complications and reduced pain.
• Open surgery: In some cases, your surgeon may determine that open surgery is necessary, particularly if the hernia is very large or the risk of complications is high. Open surgery is just as safe as other techniques, but usually has a longer hospital stay and recovery period.

Recovery from Parastomal Hernia Repair Surgery

Parastomal hernias can recur after surgery. Patients are frequently advised to address any lifestyle factors that may have contributed to the original hernia such as obesity and nutritional disorders before undergoing a hernia repair. Each subsequent surgery to repair recurrent hernias will become more difficult, with a higher risk of complications.

To reduce your risk of recurrence, make every effort to maintain a healthy weight and avoid heavy lifting and any activities that put excessive strain on your abdominal muscles early after surgery.