Parastomal hernia: an exploration of the risk factors and the implications.
Risk may be defined as 'the chance that something may happen to cause loss or an adverse effect' (Concise Oxford Medical Dictionary, 2003). Patients undergoing stoma formation are at risk of developing a wide range of complications following surgery. A parastomal hernia is an adverse effect that can contribute to postoperative morbidity. The risk of developing a parastomal hernia is dependent upon a number of variables, and stoma care nurses need to be aware of these to plan the appropriate care for patients undergoing stoma formation. This article discusses the issues surrounding the development of parastomal hernias and also looks at ways in which the risk factors associated with the development of a parastomal hernia may be minimized.
McGrath
Anthony
A
St Bartholomew School of Nursing and Midwifery, City University London, UK.
Porrett
Theresa
T
Heyman
Bob
B
D003125:Colostomy / Q000009:adverse effects*; D005081:Exercise Therapy; D006555:Hernia, Ventral / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D015994:Incidence; D024802:Nurse's Role; D009765:Obesity / Q000150:complications; D010347:Patient Care Planning; D010353:Patient Education as Topic; D019990:Perioperative Care / Q000451:nursing; D018570:Risk Assessment; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D013526:Surgical Mesh; D054047:Surgical Stomas / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000150:complications