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    Parastomal Hernia Complications

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    georgela
    Parastomal hernia

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    Parastomal Hernia Complications

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    georgela
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    Parastomal hernia

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    Parastomal hernia

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    Download as docx, pdf, or txt
    12 views3 pages

    Parastomal Hernia Complications

    Uploaded by

    georgela
    Parastomal hernia

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    © All Rights Reserved
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    PARASTOMAL HERNIA COMPLICATIONS

    1
    Parastomal Hernia Complications

    Parastomal hernias (PHs) can cause psychological distress and embarrassment for

    patients. The psychological distress stemming from visible bulges around the stoma can

    significantly affect a person's body image and self-esteem, as highlighted by Watson et al. (2013)

    and Temple et al. (2016). This emotional burden is compounded by the physical complications

    that can arise from PHs, such as changes in stoma size and shape, and fragile skin around the

    stoma (Lyon et al., 2010, as cited in Smith et al, 2024). The main concern is preventing leakage,

    which impacts appliance design, skin health, and psychological well-being (Cowin & Redmond,

    2012). Temple et al. (2016) highlighted that PHs not only impact body image but also hinder

    physical function, social interactions, and daily tasks.

    PHs can be silent or lead to serious complications such as bowel strangulation,

    incarceration, perforation, gangrene, and sepsis, and other life-threatening issues increasing the

    risk of complications and mortality (Baig et al., 2022; Temple, et al., 2016). While PHs rarely

    cause strangulation due to their large hernia ring, emergency surgery is required if strangulation

    occurs. Symptoms include a non-retracting bulge, fever, redness, sudden or severe pain, and

    signs of intestinal obstruction (Lou et al., 2012).

    The complications that arise from PHs, and the potential for serious issues like bowel

    strangulation, underscore the necessity for ongoing education and awareness. Such education is

    crucial, as highlighted by the Wound, Ostomy and Continence Nurses Society, which emphasizes

    the importance of recognizing warning signs early (Wound, Ostomy and Continence Nurses

    Society Guideline Development Task Force, 2018).

    References
    PARASTOMAL HERNIA COMPLICATIONS
    2
    Baig, H., Curry, H., Leiberman, C. P., Al Ani, A. M., & Watson, C. M. (2022). Insidious onset of

    incarcerated parastomal hernia with gastric outlet obstruction: A case

    report. Cureus, 14(7), e26930. https://doi.org/10.7759/cureus.26930

    Cowin, C., & Redmond, C. (2012). Living with a parastomal hernia. Gastrointestinal

    Nursing, 10(1), 16–24. https://doi.org/10.12968/gasn.2012.10.1.16.

    Lou, J. Y., Wu, Y. L., & Wu, D. (2012). Incarcerated internal hernia within a huge irreducible

    parastomal hernia with intestinal obstruction: a rare case report of "hernia within

    hernia". Journal of the Korean Surgical Society, 83(3), 179–182.

    https://doi.org/10.4174/jkss.2012.83.3.179

    Smith, C., & Cook, N. (2024). Ostomy care nurses’ knowledge and practice related to prevention

    and management of parastomal hernias in adults: A nationwide survey of UK stoma care

    nurses. Journal Wound Ostomy Continence Nursing. 51(4), 289-296. doi:

    10.1097/WON.0000000000001091)

    Scott Arockia Singh, M., Sabu Jeyasekharan, S., Devaprasath Jeyasekharan, D., Bala Vidyasagar,

    P., Nithila, C., & Grifson, J. (2021). Management of obstructed giant parastomal hernia –

    what a general surgeon should know?. International Journal of Contemporary Medicine

    Surgery and Radiology. 6(3), C36-C39. DOI:http://dx.doi.org/10.21276/ijcmsr.2021.6.3.9

    Temple, B., Farley, T., Popik, K., Ewanyshyn, C., Beyer, E., & Dufault, B. (2016). Prevalence of

    parastomal hernia and factors associated with its development. Journal of Wound,

    Ostomy and Continence Nursing 43(5), 489-493. DOI:

    10.1097/WON.0000000000000261
    PARASTOMAL HERNIA COMPLICATIONS
    3
    Watson, A. J., Nicol, L., Donaldson, S., Fraser, C., & Silversides, A. (2013). Complications of

    stomas: Their etiology and management. British Journal of Community Nursing, 18(3),

    111–116. https://doi.org/10.12968/bjcn.2013.18.3.111

    Wound, Ostomy and Continence Nurses Society Guideline Development Task Force. (2018).

    WOCN Society Clinical Guideline: Management of the Adult Patient with a Fecal or

    Urinary Ostomy—An Executive Summary. Journal of Wound, Ostomy and Continence

    Nursing 45(1), 50-58, DOI: 10.1097/WON.0000000000000396

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