Parastomal Hernia

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www.downstatesurgery.orgParastomal Hernia (PSH)Indications for Elective Surgical Intervention• Increasing PSH size• Peristomal skin breakdown• Intermittent bowel obstructions• Stoma appliance dysfunction and leakage• Chronic back and/or abdominal pain• Psychological distress• Stoma dysfunction
www.downstatesurgery.orgParastomal Hernia (PSH)Non-surgical Management:• Surgical repair avoided in mild/asymptomaticpatients• Most patients can be managed with an ostomyhernia belt• Education about signs and symptoms ofobstruction, strangulation, and infarction ofbowel
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Parastomal Hernia

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