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What can be done to manage the hernia?

A parastomal hernia produces a swelling and this can distort the position of the stoma, making it difficult to carry out pouch changes. The use of a mirror may help when positioning the pouch.

A support belt can often help if you are experiencing a dragging sensation or feel discomfort around the parastomal hernia.  Alternatively, a lightweight panty girdle for women can be used.

Sometimes re-siting of the stoma may be an option. With any surgical option there will always be health and anaesthetic considerations that will need to be discussed at length first with your surgeon.

A parastomal hernia can also stretch the skin around the stoma (peri-stomal skin) and make it more fragile and prone to breaking down. Some people find they need to protect their skin with a protective skin barrier such as
LBF®/WBF®.Others find that a two piece system is more suitable as the flange stays in situ for a few days – only the pouch itself is replaced as necessary without disturbing/removing the flange.

Some hernias can produce a swelling and can cause problems when securing a flat pouch to the skin risking leakage." target="_blank">HydroFrame® can be used with any pouch to increase the flange surface area. Alternatively, some patients find they need a larger flange to ensure the pouch is secure on their abdomen. Welland Medical also offers the large post-operative drainable pouch.

        Picture 1                                             Picture 2

Picture 1. shows a gentleman with a small, perfectly round parastomal hernia. He has trouble keeping a pouch on for any length of time. The picture demonstrates Hydroframe® in use maximizing wear time by providing additional adhesion around the flange.

Picture 2. shows a Curvex® colostomy (closed) pouch. The 3D flange moulds naturally to the skin, filling any shallow peristomal recesses, greatly reducing the need for paste and washers. The soft, flexible, contoured flange reduces likelihood of discomfort and tissue damage sometimes associated with rigid, conventional convexity. To find out more about Curvex®
click here.

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