Preventing a Parastomal Hernia

Hernias can be experienced by everyone, regardless of whether you have a stoma or not. If you have undergone surgery resulting in the formation of a stoma you are at a greater risk of hernia due to the abdominal muscles being weakened. 

Not everyone with a stoma will develop a hernia and there are some things you can do to help prevent one.

How can I prevent a hernia?

• Avoid heavy lifting and straining - if lifting is unavoidable, use a wheeled trolley to move heavier items. 
• Manage your weight - being overweight increases your risk of developing a hernia.
• Do not lift for the first 12 weeks after your surgery.
• Support your stoma and abdomen whilst coughing, laughing or sneezing with your hands.
• Get out of bed by bending your knees and rolling onto your side. Swing your legs over the side and use your hands to pull yourself upward into a sitting position.
• Perform gentle exercises daily.

Daily Exercises

Remember not to rush the movements and do the exercise slowly and in a controlled way. You should feel comfortable at all times.

	1. Pelvic Tilting a) Lie on your back on a firm surface with knees bent and feet flat on the floor b) Pull your tummy in, tilt your bottom upwards slightly while pressing the middle of your back into the floor and hold for two seconds c) Let go slowly d) Repeat ten times
	2. Knee Rolling a) Lie on your back on a firm surface with knees bent and feet flat on the floor b) Pull your tummy in, and keeping your knees together, slowly roll them from side to side c) Repeat ten times
	3. Abdominal Crunch a) Lie on your back on a firm surface with knees bent and feet flat on the floor b) Place your hands on the front of your thighs and pull your tummy in c) Lift your head off the floor d) Hold for three seconds, then slowly return to the starting position e) Repeat ten times

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