Prevention of parastomal hernia: a comparison of results 3 years on

Abstract

Parastomal hernia continues to be a common and distressing problem for patients with stomas and research investigating prevention strategies is scant. In March 2005 Thompson and Trainor reported that the introduction of a prevention programme for 1 year following stoma formation surgery significantly reduced the incidence of parastomal hernia. This follow-up study strengthens the reliability and validity of the findings of the first study by confirming a statistically significant reduction in the incidence of parastomal hernias through the introduction of a simple non-invasive prevention programme. clinical 22 gastrointestinal nursing vol 5 no

Incidence and risk factors for parastomal bulging in patients with ileostomy or colostomy: a register‐based study using data from the Danish Stoma Database Capital Region

“…Peristomal mesh [38], surgical techniques [39][40][41] and non-surgical options, e.g. abdominal exercise, may warrant further attention [42][43][44].…”

Using a risk assessment tool for parastomal hernia prevention

“…In concluding their review, Bland and Young (2016) recommended a non-invasive preventive approach to managing parastomal hernia. Previous studies have explored such programmes (Thompson and Trainer, 2005;Thompson and Trainor, 2007;Kald et al, 2008;Thompson, 2010). However, a more recent study reported a significant reduction in the incidence of parastomal hernia following a programme that offered participants advice solely on lifting, abdominal exercises and wearing a support garment (North, 2014).…”

Optimal support systems for patients with stomas – an opinion piece

“…There is research to suggest that use of an abdominal support and undertaking abdominal exercises will assist in the prevention of a parastomal hernia. 45,46 Krouse et al identified that intimacy was the most affected issue for both men and women. 34 Wu et al also reported that about 30% of ostomates lacked confidence in relation to sexual activities but also, that many did not respond to this topic in the questionnaire.…”