How is a parastomal hernia caused? What to pay attention to in a parastomal hernia

Condition analysis: Hello, if you are an elderly woman, you can operate if you are in good physical condition in all aspects**, if you are in poor physical condition, you need to be conservative** to prevent the possibility of other diseases, amenorrhea is too old, opinions and suggestions:

Recommendation: Parastomal hernias can occur due to increased abdominal pressure, malnutrition, obesity, and infection after abdominal surgery. The choice of stoma site also has a lot to do with parastomal hernias.

In general, smaller hernias are controlled with medication** and can be improved with abdominal bandages or compression bandages. Patients with larger hernias will undergo surgery**. It is recommended that you:

Surgery**Parastomal hernia can be operated except for patients with advanced cancer and severe medical comorbidities who cannot tolerate surgery**. There are two types of hernia repair in situ and stoma displacement. Good luck soon**.

It may be a parastomal hernia.

Parastomal hernia is a common complication after enterostomy surgery, second only to stoma prolapse. Parastomal hernia is caused by the prolapse of the small intestine or colon through the lateral stoma due to various reasons, and the incidence rate is about 3% to 10% in China and 10% to 36% in foreign countries. Parastomal hernia affects the quality of life of patients to a certain extent, and can lead to acute complications such as incarceration of contents and intestinal infarction.

The incidence of parastomal hernia increases over time.

The clinical manifestations of parastomal hernia have no obvious clinical signs in the early stage, only a slight swelling at the parastoma, and as the hernia gradually increases, it is obvious when standing upright, often accompanied by abdominal pain, abdominal distension and other symptoms. In some patients, the mass can be retracted when the abdominal muscles are relaxed, and the neck of the parastomal hernia is generally wider due to the dilation of the hernia sac and the stretching of the abdominal wall and the stoma**, and the incidence of strangulation is low. Parastomal hernia is often accompanied by local swelling discomfort, and the protruding mass affects the pasting of the ostomy bag, which will also bring a lot of inconvenience to the patient's dressing and appearance.

Long-term compression of a large parastomal hernia leads to poor blood supply, impaired reflux, dystrophy, ulceration of the hernia surface and incarceration, obstruction and necrosis of the intestinal tract. A parastomal hernia does not heal on its own, and surgery is the only way to do it.

There are many causes of hydrops, such as pulmonary hypertension, high blood pressure, liver disease, renal insufficiency, heart failure, etc., but the proportion of hydrops caused by heart disease is higher. Heart disease causes blood to accumulate throughout the body, and when the blood from the lungs wants to return to the heart, the pressure in the heart is increased, which hinders the return flow, causing the water in the blood to penetrate into the interstitial space of the tissues, causing the lungs to obstruct ventilation, and then causing hydrops in the lungs. **Of course, you must go to the cause of the hydrops.

Removing the cause of the hydrops can be eliminated naturally.

It is customary to think that it is better to eat fruit after a meal. However, a few days ago, some scientists put forward a different view of the high chain, believing that eating fruits after meals will lead to digestive disorders over time and easily cause diarrhea. If the time to eat fruit is changed to one hour before the meal, the function of the human body to prevent the epidemic can be maintained.

If you want to eat fruit after eating, you must wait for an hour before eating.

Yes, due to the artificial destruction of the integrity of the abdominal wall, resulting in the defect of the abdominal wall. As abdominal pressure increases, abdominal contents can be herniated through a parastomal defect. Once incarceration occurs, it is very difficult, even if the patient's life is saved by surgery, the quality of life is very poor, because of the formation of two stomas, the patient will be very painful.

Therefore, if the patient's body allows, surgery must be taken**, unless the patient has metastases and the life expectancy is not long, and the surgery can be abandoned after careful evaluation**.

It's a minor surgery, don't worry.

What is an ostomy? Let's illustrate it in the picture above.

As long as you go to a regular hospital, it's no problem, like this.

Hernia is an ancient and common disease, commonly known as "intestinal gas" or "hernia", which can occur in both men and women, young and old, healthy or weak. The vast majority of hernias occur in the abdominal wall due to the weakness of the abdominal wall tissue, which causes the abdominal internal organs (such as the small intestine, etc.) to protrude from the weak area and form a mass.

Clinical presentation. Inguinal hernias are the most common hernias, and prominent bulges occur in the groin; The protruding bulge of the umbilical hernia occurs in the periumbilicus; Patients with incisional hernia often have a history of surgery, and the protruding bulge is often at the site of the original surgical incision; The parastomal hernia bulges over the enterostomy and often bulges outward, making it difficult for the pouch to stick.