A Parastomal Hernia (Stoma Hernia) is a weakness or protrusion in the muscle wall of the abdomen at the site of a Stoma which allows the abdominal contents to bulge out. The bulge often protrudes more when coughing or undertaking physical activity.
Why Do Stoma Hernias Occur?
A ‘Stoma’ is a surgically made opening in the stomach, small bowel, or colon that allows a patient to pass waste into a bag. Surgery of this kind is often necessary when patients have gastrointestinal problems that prevent them from having normal bowel movements. A Stoma Hernia is a common complication that follows this procedure. When a Stoma is brought to the surface of the abdomen it passes through the abdominal wall. In turn this creates a potential area of weakness. Usually the muscles in the abdominal wall form a snug fit around the opening, however, on occasion the muscles come away from the edges of the Stoma, creating a hernia.
A Stoma Hernia can occur like most hernias through coughing or from being overweight. It can also occur if there was an infection in the wound following Stoma surgery. It can also develop gradually as the the area near the Stoma stretches and weakens over time.
Stoma Hernia Symptoms
- Changes in Stoma function or bowel habits
- Pain or discomfort around the Stoma
- Pain or discomfort during heavy lifting or coughing
- A bulge around the Stoma
Stoma Hernia Treatment
There are a range of options available to patients depending on their on their individual circumstances. Browse the different types of hernia repair we offer at London Hernia and arrange an appointment .
Many hernias do not hurt so the temptation is to ignore them. However, failing to get medical advice can be damaging and is not recommended. If left the hernia will grow and discomfort and pain, even if negligible to start with, will intensify.