Reducing the incidence of parastomal hernia with a simple surgical technique.
The incidence of parastomal hernia is reported at between 10% and 50%. The development of a hernia after stoma surgery can lead to both physical and psychological problems and may reduce the individual's quality of life. Many garments and appliances are aimed at managing a stoma and a peri-stomal hernia. From a surgical perspective, to date there has been no real success in achieving a reduction in parastomal hernia incidence. The cost of managing a parastomal hernia is reported as being in excess of £1 million a year in England for non-surgical management alone. Surgical repair of parastomal hernia carries not only a financial burden but an increased risk of mortality and morbidity.
Clinical Nurse Specialist, Stoma Care, Queen's Hospital, Romford, Essex.
Kevin
K
Hayles
Surgical Registrar (Colorectal) Queen's Hospital, Romford, Essex.
Alex
A
Almoudaris
D016022:Case-Control Studies; D003020:Clothing; D004766:Enterostomy / Q000379:methods*; D005260:Female; D017048:Health Care Costs; D059685:Herniorrhaphy; D006801:Humans; D000069290:Incisional Hernia / Q000191:economics / Q000517:prevention & control* / Q000601:surgery; D008297:Male; D011788:Quality of Life; D054047:Surgical Stomas; D013536:Suture Techniques
Cost; Ostomy; Parastomal hernia; Prophylaxis; Quality of life; Support garments; Surgical stomas