Keeping it in – minimising the risk of Parastomal Hernia

70% of ostomates develop a parastomal hernia within two years

My surgeon warned me of the risks of hernia, he explained there is not always a clear reason why these occur and not to blame myself should I develop one.

We discussed surgical techniques to reduce hernia risk and my preference to avoid using mesh because of my negative experience with TVT mesh.

Stoma formation can weaken the abdominal wall and cause a parastomal hernia. This creates a bulge around and behind the stoma where intestine protrudes through the abdominal muscles. This may cause discomfort, impact stoma function and require further surgery.

While I can't guarantee a hernia-free future, I take measures to minimise the risks.

Stoma support

I always wear light compression underwear. I adjust and increase the level of compression I wear for exercise and other activities.

I take care during illnesses with intense coughing or sneezing by supporting my stoma with my hand.

Post-surgery recovery

I modified daily activities like housework, gardening, and avoided overstretching and lifting heavy items.

I focused on maintaining good posture, core control, breathing, and pelvic floor exercises.

I did several small walks daily.

Exercise

I adapted movements to strengthen my abdominal muscles.

I gradually increased my exercise and varied my training.

I exercise when my stoma is less likely to be active.

I carry heavier items close to my body.

Keeping things moving

Alongside exercise, I eat a balanced diet, stay hydrated, and avoid constipation.

I Listen to my body

If I feel discomfort or pressure around my stoma, I modify the activity or stop.

If I developed a parastomal hernia, I would seek medical attention and wear a stoma support belt.