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Parastomal hernia: an overview.

Francesco Carlo Denti1, Davide Brambilla2, Giovanni De Luca3

  • 1Enteral Stoma Nurse, Stoma Care Unit, San Raffaele Scientific Institute, Milan; Adjunct Professor Nursing, Vita Salute San Raffaele University, Milan, Italy.

British Journal of Nursing (Mark Allen Publishing)
|September 8, 2023
PubMed
Summary
This summary is machine-generated.

Parastomal hernia (PH) is a common ostomy complication with variable incidence. Prevention and treatment strategies are crucial for managing this condition and improving patient quality of life.

Keywords:
AetiologyOstomyParastomal herniaPreventionQuality of lifeTreatment

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Area of Science:

  • Surgical complications
  • Gastroenterology
  • Stoma care

Background:

  • Parastomal hernia (PH) is a frequent complication following ostomy surgery.
  • Incidence rates vary significantly in existing literature.
  • Predisposing factors include patient-specific characteristics and surgical techniques.

Purpose of the Study:

  • To provide a comprehensive overview of parastomal hernia.
  • To discuss the incidence, etiology, prevention, and treatment of PH.
  • To examine the impact of PH on patient quality of life (QoL).

Main Methods:

  • Literature review of parastomal hernia.
  • Analysis of assessment techniques: objective examination, ultrasound, and computed tomography.
  • Evaluation of preventative interventions by surgeons and stoma care nurses (SCNs).

Main Results:

  • No standardized system currently exists for PH assessment.
  • SCN interventions include patient evaluation, ostomy siting, weight management, and exercise advice.
  • Treatment choice (conservative vs. surgical) depends on clinical condition.

Conclusions:

  • Parastomal hernia significantly impacts patient quality of life.
  • Effective prevention and management strategies are essential.
  • Further research may be needed to standardize assessment and treatment.