Parastomal Hernia
A parastomal hernia is a hernia that occurs around a stoma (colostomy or ileostomy following previous bowel surgery). A hernia itself is a defect in a strong connective tissue layer through which tissue can protrude. Sometimes, particularly if bowel protrudes through this defect, or hernia, it can get stuck and very occasionally lose its blood supply. This would obviously be an emergency.
By using either laparoscopic or the more traditional “open” technique, the contents of the hernia are reduced and the hernia repaired using a variety of different available mesh and fixation devices.
These hernias can be quite challenging to manage and the surgery can vary from being relatively minor to quite complex, and could potentially require longer recovery times, formation of a new stoma site or occasionally reversal of the stoma if appropriate. I would obviously discuss all this with you beforehand.
Apart from a very small chance of bleeding or wound infection, there is a very small chance of recurrence of the hernia (usually 1-2%).
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