Parastomal Hernia Treatment in Chandigarh, Punjab, India — Dr. Rajeev Kapoor
What Is a Parastomal Hernia?
A parastomal hernia is a type of hernia that develops around the site of a stoma—such as after a colostomy or ileostomy—when abdominal contents like bowel or fat protrude through weakened tissue. It is regarded as the most widespread long-term sequela of forming stoma creation and patients can experience it in the nearest years after the procedure.
Recognizing Signs & Symptoms
Symptoms may include:
- A bulge or swelling around the stoma site
- Pain, pressure, or discomfort, especially during movement
- Poor pouch fit, leading to leaks or skin irritation
- In rare cases, bowel may become trapped, leading to obstruction or strangulation—this requires urgent attention.
Treatment Options
Conservative & Supportive Care
- Lifestyle changes to reduce abdominal pressure (e.g., healthy weight, gentle exercises)
- Use of hernia support belts or belts designed for stoma care
- Optimizing pouch fitting and preventing skin irritation with proper stoma care techniques.
If you’re experiencing any of these symptoms, urgent evaluation is crucial. Delaying treatment can lead to severe blood loss, shock, or complications from undiagnosed conditions like cancer or ulcers.
Surgical Repair Techniques
When symptoms worsen or interfere with daily life, surgical repair may be recommended. Modern techniques include:
- Mesh reinforcement around the stoma site to strengthen and prevent recurrence—this is the current standard for long-term durability.
- Minimally invasive (laparoscopic or robotic) mesh repairs offer shorter recovery times and reduced complications.
- Stoma relocation, occasionally required in complex cases, though it carries higher recurrence risk and requires careful planning.
Recovery & Follow-Up
- Initial rest is advised, including avoidance of heavy lifting
- Support garments and skin care are continued to aid healing
- Regular follow-up ensures successful recovery and monitors for any recurrence
- Most patients can return to daily routines relatively quickly post minimally invasive repairs
Why Early Management Matters
Addressing parastomal hernias early helps prevent progression to more serious complications such as obstruction or organ damage. Non‑surgical approaches often work well when symptoms are mild and identify risks
Why Choose Dr. Rajeev Kapoor?
- Expert parastomal hernia specialist in Chandigarh with deep experience
- Skilled across both supportive and advanced surgical repair techniques
- Holistic, patient-centered care—balancing comfort, function, and long-term outcomes
- Access to modern facilities with minimally invasive and personalized surgical options
Frequently Asked Questions (FAQs)
Can all parastomal hernias be managed without surgery?
Many can, especially if found early; symptomatic or problematic cases may require surgical repair.
Are hernia belts effective?
Yes, especially when combined with lifestyle adjustments and proper stoma care.
Is mesh repair safe?
Yes—it’s the current gold standard with better recurrence rates and excellent outcomes.
Can hernias come back after surgery?
Recurrence is possible; proper surgical technique and follow-up care minimize that risk.
