What is a hernia?
A hernia is a weakness in the wall of an organ that results in contents of that organ pushing through the weak spot. When if occurs in the abdomen, it is called an abdominal hernia.

What is a stoma hernia?
A stoma hernia is a complex abdominal hernia that occurs around either an ileostomy or colostomy. It is also known as a parastomal hernia.
When a stoma is created, it is brought out through an opening in the abdominal wall. As a result, an area of weakness is present in the abdominal wall. Over time in some people, the muscles pull away from the stoma leading to the hernia formation.

How do stoma hernias present?
Some stoma hernias do not initially present with symptoms. However, as they enlarge over time, they tend to become more symptomatic. They present as a bulge at the ostomy site; pain/discomfort at the affected site; difficulty in applying the ostomy appliance. A stoma hernia is also occasionally in association with an ostomy prolapse. In some instances, bowel contents may be in the hernia and could get trapped in the hernia. This can lead to strangulation and necrosis of the affected bowel which is potentially life-threatening.

How are stoma hernias treated?
Definitive treatment of a stoma hernia requires surgery. Stoma hernia surgery usually entails either repair of the hernia or relocation of the ostomy. The option used depends on multiple factors.
The surgeries are carried out either using the traditional “open” surgery techniques or minimally invasive techniques (laparoscopic or robotic assisted).
Robotic hernia surgery refers to surgical management of hernias using the assistance of the da Vinci robot as a minimally invasive tool. The da Vinci Robot provides a 3D high definition view of the hernia. This repair has been found to be associated with less pain and earlier return to work compared to traditional hernia operations.

We at The Woodlands Colon and Rectal Associates, prefer to use robotic assisted / laparoscopic assisted techniques to repair stoma hernias. However, not every hernia can be treated using a minimally invasive technique for various reasons. Your surgeon will guide you in this decision.

Are you dealing with a hernia? Call and schedule a consultation today with our board certified colon and rectal surgeon. We look forward to being of help to you.
  • (832) 663-0037
  • FAX: (281) 962-3033
  • The Woodlands Office: 920 Medical Plaza Drive, Suite 330, The Woodlands, TX 77380.