Parastomal hernia: incidence, prevention and treatment strategies.
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 post-stoma surgery formation had significantly reduced the incidence of development of parastomal hernia. This was further supported by a follow-up study in 2007, strengthening the reliability and validity of the first findings by confirming a statistically significant reduction in the incidence of parastomal hernias through the introduction of a simple non-invasive prevention programme. This article reviews the current literature on incidence, prevention and treatment, together with a step-by-step guide for stoma care nurses to implement the prevention programme and/or study within their area.
Thompson
Mary Jo
MJ
Craigavon Area Hospital, Portadown, Northern Ireland.
D005081:Exercise Therapy / Q000379:methods; D006555:Hernia, Ventral / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D015994:Incidence; D009720:Nurse Clinicians / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D010353:Patient Education as Topic; D019990:Perioperative Care / Q000379:methods / Q000451:nursing; D011322:Primary Prevention / Q000379:methods; D012307:Risk Factors; D017592:Skin Care / Q000379:methods / Q000451:nursing; D013526:Surgical Mesh; D054047:Surgical Stomas / Q000009:adverse effects*