Abstract
Parastomal hernias, in which a section of bowel protrudes through the abdominal wall, are a common complication of stoma-forming surgery. This can cause a decrease in a person's quality of life, due to physical discomfort, a highly visible bulge and poor appliance adhesion, leading to leakage of the stoma appliance. Risk factors include the patient's age and health, as well as the physical properties of the stoma and how it was formed. The limited nursing research on the topic recommends that strengthening the abdominal wall by using exercises and support garments can dramatically reduce the incidence of herniation. Should a hernia occur, recommended management options include wearing a support garment or surgical repair, sometimes using a mesh, although hernias often recur after they have been repaired. It is important for stoma care nurses to advise patients how to prevent, as well as treat, this problem.
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