Parastomal hernias, and why they should be avoided. Purpose Prevention and the musculoskeletal consequences of parastomal hernias (PH) are unknown. Two investigations were carried out: (i) musculoskeletal consequences in having a hernia (low back pain (LBP), musculoskeletal function and disability related to LBP), and (ii) an advice/exercise programme to reduce the incidence of PH in the first year post-operatively. Methods Two studies investigated PH. Study 1 was a province-wide postal questionnaire survey of people with a stoma (ileostomy/colostomy) (n = 1322). A range of outcomes related to exercise, LBP, and disability were analysed in relation to symmetry of the abdomen. Study 2 (n = 543) compared the incidence of PH in a convenience sample of two groups: ostomates who took part in a prevention programme (different year groups) and a control group. Data over 6 years were analysed to determine the effect of the intervention. Results Study 1: People with asymmetric abdomens (n = 274) had statistically significant poorer outcomes (Mann-Whitney U test) for disability associated with LBP (p < .001), deterioration in posture (p = .040), muscle strength (p < .000) and the ability to carry out every day activities (p< 0.05). Study 2: overall incidence of PH in control group was 28% and in the intervention groups: 14%, 17%, 15% and 13% (p ≤ 0.05) for the different year groups. Conclusions PH is associated with significant co-morbidities. An advice and exercise programme can help reduce but not abolish the incidence of PH. It is likely that surgical technique plays a vital role in minimising PH development. Objective Understand that parastomal hernias have significant co-morbidities that affect quality of life. Can surgeons play a role in minimising the incidence of parastomal hernia development?
|Publication status||Published - 2011|
|Event||Association of Coloproctology of Great Britain and Ireland - Birmingham, United Kingdom|
Duration: 01 Jun 2011 → …
|Conference||Association of Coloproctology of Great Britain and Ireland|
|Period||01/06/2011 → …|