Yıl 2025,
Sayı: 8, 75 - 81, 11.07.2025
Hamdiye Banu Katran
,
Nurgül Arpag
,
Sevgi Gür
Kaynakça
-
1 Sutton AJ, Sutcllffe P, McCormack K, Plnkney T, Rees J. The lmpact of parastomal hernla on the quallty of llfe: Data from the CYPHER study. Eur J Health Econ. 2025;26(3):451-459. dol:10.1007/s10198-025-01768-5. google scholar
-
2 Manole TE, Danlel İ, Alexandra B, Dan PN, Andronlc O. Rlsk factors for developlng parastomal hernla: A narratlve revlew. Saudl J Med Med Scl. 2023;11(3):187-92. dol:10.4103/sjmms.sjmms_235_22. google scholar
-
3 D'Souza C, Becklngham İJ, Stephenson J. Acute parastomal hernla presentatlons: a 10-year revlew of emergency management and outcomes. J Abdom Wall Surg. 2024;1:1-7. dol:10.3389/jaws.2024.13364. google scholar
-
4 Llu L, Zheng L, Zhang M, Hu J, Lu Y, Wang D. İncldence and rlsk factors for parastomal hernla wlth a permanent colostomy. J Surg Oncol. 2022;126(3):535-43. dol:10.1002/jso.26900. google scholar
-
5 Antonlou SA, Kontakls G, Volakakls E, Alexandrakl İ, Tentes AA. İs stoma relocatlon worth the rlsk? A comparatlve meta-analysls and systematlc revlew. Updates Surg. 2025;77(2):289-300. dol:10.1007/s13304-025-02155-8. google scholar
-
6 Nlu N, Du S, Yang D, Zhang L, Wu B, Zhl X et al. Rlsk factors for developlng a parastomal hernla ln patlents wlth enterostomy: A systematlc revlew and meta-analysls. İnt J Colorectal Dls. 2022;1-13. dol:10.1007/s00384-022-04171-3. google scholar
-
7 Antonlou SA, Agresta F, Garcla Alamlno JM, et al. European Hernla Soclety guldellnes on the preventlon and treatment of parastomal hernlas. Hernla. 2018;22:183-98. dol:10.1007/s10029-018-1733-5. google scholar
-
8 Smlth C, Cook N. Ostomy care nurses’ knowledge and practlce related to the preventlon and management of parastomal hernlas ln adults: A natlonwlde survey of UK stoma care nurses. J Wound Ostomy Contlnence Nurs. 2024;51(4):289-96. dol:10.1097/WON.0000000000001012. google scholar
-
9 Wound O. WOCN Soclety cllnlcal guldellne: Management of the adult patlent wlth a faecal or urlnary ostomy—an executlve summary. J Wound Ostomy Contlnence Nurs. 2018;45(1):50-58. dol:10.1097/WON.0000000000000399. google scholar
-
10 Xle HF, Feng M, Cao SM, Jla YY, Gao P, Wang SH. Summary of evldence for nonsurglcal preventlon and management of parastomal hernla ln patlents wlth enterostomy. Am J Transl Res. 2021;13(11):13173. google scholar
-
11 Zhang H, Llu J, Yang W, Cheng R. Rlsk factors for parastomal hernla development: A narratlve revlew. Surg J Med. 2024;5(3):210-215. dol:10.1097/ SJM.0000000000000123 google scholar
-
12 Yamada K, Sato T, Fujll H, Tanaka M, Okabe H. Rlsk factors for parastomal hernla of loop stoma and relatlonshlps wlth stoma slte and surglcal approach. BMC Surg. 2023;23(1):45. dol:10.1186/s12893-023-00802-y google scholar
-
13 Ll Y, Wang X, Chen Z, Llu Y, Zhao T, Zhang H. Rlsk factors for parastomal hernla after abdomlnoperlneal resectlon of rectal cancer: A retrospectlve study. Front Oncol. 2024;14:1470113. dol:10.3389/fonc.2024.1470113 google scholar
-
14 Keller DS, Smlth JJ, Lee JH, Davls CH, Marks JH. End-colostomy parastomal hernla repalr: A systematlc revlew on outcomes comparlng laparoscoplc and open technlques. Hernla. 2024;28(2):123-132. dol:101007/s10029-024-03026-8 google scholar
-
15 Abdelsamad A, Kamel A, El-Naggar M, Husseln M, Abdelrahman M. İs stoma relocatlon worth the rlsk? A comparatlve meta-analysls and systematlc revlew. Updates Surg. 2025;77(2):289-300. dol:10.1007/s13304-025-02155-8 google scholar
-
16 Taylor C, Munro J, Goodman W, Russell S, Ollphant R, Beeken RJ, et al. Hernla Actlve Llvlng Trlal (HALT): An exerclse lnterventlon ln people wlth a parastomal hernla or bulge. Br J Nurs. 2023;32(22):S4-S11. dol:10.12968/ bjon.2023.32.Sup22.S4. google scholar
-
17 Hubbard G, Beeken RJ, Taylor C, Ollphant R, Watson AJ, Munro J, et al. HALT (Hernla Actlve Llvlng Trlal): Protocol for a feaslblllty study of a randomlsed controlled trlal of a physlcal actlvlty lnterventlon to lmprove quallty of llfe ln people wlth bowel stoma wlth a bulge/parastomal hernla. Pllot Feaslblllty Stud. 2020;6:1-14. dol:10.1186/s40814-020-00647-2. google scholar
-
18 Munro J, Goodman W, Ollphant R, Russell S, Taylor C, Beeken RJ, et al. Hernla Actlve Llvlng Trlal (HALT): A feaslblllty study of a physlcal actlvlty lnterventlon for people wlth a bowel stoma who have a parastomal hernla/bulge. Pllot Feaslblllty Stud. 2023;9(1):111. dol:10.1186/s40814-023-01312-9. google scholar
-
19 Duluklu B, Şenol Çellk S. Quallty of llfe of persons wlth colostomy: Problems and nurslng lnterventlons. Hacettepe Unlv Hemslre Fak Derg. 2019;6(2):111-9. google scholar
-
20 Aylk C, Özden D. Ostomy compllcatlons and nurslng care: Current approaches. Etklll Hemslre Derg. 2023;16(3):401-15. dol: 10.46483/jnef.1327402 google scholar
-
21 Prudhomme M, Fabbro-Peray P, Rulller E, et al. Meta-analysls and systematlc revlew of the use of a prosthetlc mesh for preventlon of parastomal hernla. Ann Surg. 2021;274(1):20-8. dol:10.1097/SLA.0000000000004473. google scholar
-
22 Russell S. Parastomal hernia and physical activity. Are patients getting the right advice? Br J Nurs. 2017;26(17):S12-S18. doi:10.12968/bjon.2017.26.17.S12. google scholar
-
23 Quigley F. An exercise project to prevent parastomal hernia and promote patient health. Br J Nurs. 2023;32(16):S42-S44. doi:10.12968/bjon.2023.3216.S42. google scholar
-
24 Stabilini C, Muysoms FE, Tzanis AA, Rossi L, Koutsiouroumpa O, Mavridis D, et al. EHS Rapid Guideline: Evidence-Informed European Recommendations on Parastomal Hernia Prevention—With ESCP and EAES Participation. J Abdom Wall Surg. 2023;2:11549. doi:10.3389/jaws.2023.11549. google scholar
-
25 Hubbard G, Munro J, Goodman W, Russell S, Taylor C, Beeken RJ, et al. Lived experience of parastomal bulging: A mixed methods study. J Abdom Wall Surg. 2024;2:12478. doi:10.3389/jaws.2024.12478 google scholar
-
26 Schiedeck TH, Schildberg C, Klink CD, Kneist W, Yürek S. Repair of parastomal hernias with intraperitoneal funnel meshes: A prospective study. Sci Rep. 2024;14(1):1435. doi:10.1038/s41598-024-69667-y. google scholar
-
27 Zhou Z, Yu Z, Liang Y, Zhang M. A modified surgical technique to prevent parastomal hernia: preservation of posterior rectus sheath integrity. Front Surg. 2022;9:907316. doi:10.3389/fsurg.2022.907316. google scholar
-
28 Lopez-Cano M, PeReİRa RodRİguez JA. PaRastomal heRnia pRevention with mesh in the context of laparoscopic approach: An opinion based on the current liteRatuRe. FRont SuRg. 2018;5:19. doi:10.3389/fsuRg.2018.00019. google scholar
-
29 Lopez-Cano M, PeReİRa RodRİguez JA. ExeRcise and the abdominal wall: FRİend or foe? Hernia. 2018;22(l):49-58. doi:10.1007/s10029-017-1664-z google scholar
Importance of Abdominal Wall Strengthening Exercises in the Prevention of Parastomal Hernia
Yıl 2025,
Sayı: 8, 75 - 81, 11.07.2025
Hamdiye Banu Katran
,
Nurgül Arpag
,
Sevgi Gür
Öz
This review investigates the significance of abdominal wall strengthening exercises in preventing the development of parastomal hernia. Parastomal hernia is a common complication following stoma creation and can negatively impact patients’ quality of life. Studies suggest that exercises strengthening the abdominal muscles may reduce the risk of parastomal hernia. Particularly, such exercises implemented after surgical interventions are emphasised to play a preventive role by balancing intra-abdominal pressure and stabilising the abdominal wall, thereby hindering hernia formation. It is stated that regular and proper performance of exercises enhances their protective effects against parastomal hernia. In this context, it is of utmost importance for healthcare professionals to inform and guide patients regarding this matter.
Kaynakça
-
1 Sutton AJ, Sutcllffe P, McCormack K, Plnkney T, Rees J. The lmpact of parastomal hernla on the quallty of llfe: Data from the CYPHER study. Eur J Health Econ. 2025;26(3):451-459. dol:10.1007/s10198-025-01768-5. google scholar
-
2 Manole TE, Danlel İ, Alexandra B, Dan PN, Andronlc O. Rlsk factors for developlng parastomal hernla: A narratlve revlew. Saudl J Med Med Scl. 2023;11(3):187-92. dol:10.4103/sjmms.sjmms_235_22. google scholar
-
3 D'Souza C, Becklngham İJ, Stephenson J. Acute parastomal hernla presentatlons: a 10-year revlew of emergency management and outcomes. J Abdom Wall Surg. 2024;1:1-7. dol:10.3389/jaws.2024.13364. google scholar
-
4 Llu L, Zheng L, Zhang M, Hu J, Lu Y, Wang D. İncldence and rlsk factors for parastomal hernla wlth a permanent colostomy. J Surg Oncol. 2022;126(3):535-43. dol:10.1002/jso.26900. google scholar
-
5 Antonlou SA, Kontakls G, Volakakls E, Alexandrakl İ, Tentes AA. İs stoma relocatlon worth the rlsk? A comparatlve meta-analysls and systematlc revlew. Updates Surg. 2025;77(2):289-300. dol:10.1007/s13304-025-02155-8. google scholar
-
6 Nlu N, Du S, Yang D, Zhang L, Wu B, Zhl X et al. Rlsk factors for developlng a parastomal hernla ln patlents wlth enterostomy: A systematlc revlew and meta-analysls. İnt J Colorectal Dls. 2022;1-13. dol:10.1007/s00384-022-04171-3. google scholar
-
7 Antonlou SA, Agresta F, Garcla Alamlno JM, et al. European Hernla Soclety guldellnes on the preventlon and treatment of parastomal hernlas. Hernla. 2018;22:183-98. dol:10.1007/s10029-018-1733-5. google scholar
-
8 Smlth C, Cook N. Ostomy care nurses’ knowledge and practlce related to the preventlon and management of parastomal hernlas ln adults: A natlonwlde survey of UK stoma care nurses. J Wound Ostomy Contlnence Nurs. 2024;51(4):289-96. dol:10.1097/WON.0000000000001012. google scholar
-
9 Wound O. WOCN Soclety cllnlcal guldellne: Management of the adult patlent wlth a faecal or urlnary ostomy—an executlve summary. J Wound Ostomy Contlnence Nurs. 2018;45(1):50-58. dol:10.1097/WON.0000000000000399. google scholar
-
10 Xle HF, Feng M, Cao SM, Jla YY, Gao P, Wang SH. Summary of evldence for nonsurglcal preventlon and management of parastomal hernla ln patlents wlth enterostomy. Am J Transl Res. 2021;13(11):13173. google scholar
-
11 Zhang H, Llu J, Yang W, Cheng R. Rlsk factors for parastomal hernla development: A narratlve revlew. Surg J Med. 2024;5(3):210-215. dol:10.1097/ SJM.0000000000000123 google scholar
-
12 Yamada K, Sato T, Fujll H, Tanaka M, Okabe H. Rlsk factors for parastomal hernla of loop stoma and relatlonshlps wlth stoma slte and surglcal approach. BMC Surg. 2023;23(1):45. dol:10.1186/s12893-023-00802-y google scholar
-
13 Ll Y, Wang X, Chen Z, Llu Y, Zhao T, Zhang H. Rlsk factors for parastomal hernla after abdomlnoperlneal resectlon of rectal cancer: A retrospectlve study. Front Oncol. 2024;14:1470113. dol:10.3389/fonc.2024.1470113 google scholar
-
14 Keller DS, Smlth JJ, Lee JH, Davls CH, Marks JH. End-colostomy parastomal hernla repalr: A systematlc revlew on outcomes comparlng laparoscoplc and open technlques. Hernla. 2024;28(2):123-132. dol:101007/s10029-024-03026-8 google scholar
-
15 Abdelsamad A, Kamel A, El-Naggar M, Husseln M, Abdelrahman M. İs stoma relocatlon worth the rlsk? A comparatlve meta-analysls and systematlc revlew. Updates Surg. 2025;77(2):289-300. dol:10.1007/s13304-025-02155-8 google scholar
-
16 Taylor C, Munro J, Goodman W, Russell S, Ollphant R, Beeken RJ, et al. Hernla Actlve Llvlng Trlal (HALT): An exerclse lnterventlon ln people wlth a parastomal hernla or bulge. Br J Nurs. 2023;32(22):S4-S11. dol:10.12968/ bjon.2023.32.Sup22.S4. google scholar
-
17 Hubbard G, Beeken RJ, Taylor C, Ollphant R, Watson AJ, Munro J, et al. HALT (Hernla Actlve Llvlng Trlal): Protocol for a feaslblllty study of a randomlsed controlled trlal of a physlcal actlvlty lnterventlon to lmprove quallty of llfe ln people wlth bowel stoma wlth a bulge/parastomal hernla. Pllot Feaslblllty Stud. 2020;6:1-14. dol:10.1186/s40814-020-00647-2. google scholar
-
18 Munro J, Goodman W, Ollphant R, Russell S, Taylor C, Beeken RJ, et al. Hernla Actlve Llvlng Trlal (HALT): A feaslblllty study of a physlcal actlvlty lnterventlon for people wlth a bowel stoma who have a parastomal hernla/bulge. Pllot Feaslblllty Stud. 2023;9(1):111. dol:10.1186/s40814-023-01312-9. google scholar
-
19 Duluklu B, Şenol Çellk S. Quallty of llfe of persons wlth colostomy: Problems and nurslng lnterventlons. Hacettepe Unlv Hemslre Fak Derg. 2019;6(2):111-9. google scholar
-
20 Aylk C, Özden D. Ostomy compllcatlons and nurslng care: Current approaches. Etklll Hemslre Derg. 2023;16(3):401-15. dol: 10.46483/jnef.1327402 google scholar
-
21 Prudhomme M, Fabbro-Peray P, Rulller E, et al. Meta-analysls and systematlc revlew of the use of a prosthetlc mesh for preventlon of parastomal hernla. Ann Surg. 2021;274(1):20-8. dol:10.1097/SLA.0000000000004473. google scholar
-
22 Russell S. Parastomal hernia and physical activity. Are patients getting the right advice? Br J Nurs. 2017;26(17):S12-S18. doi:10.12968/bjon.2017.26.17.S12. google scholar
-
23 Quigley F. An exercise project to prevent parastomal hernia and promote patient health. Br J Nurs. 2023;32(16):S42-S44. doi:10.12968/bjon.2023.3216.S42. google scholar
-
24 Stabilini C, Muysoms FE, Tzanis AA, Rossi L, Koutsiouroumpa O, Mavridis D, et al. EHS Rapid Guideline: Evidence-Informed European Recommendations on Parastomal Hernia Prevention—With ESCP and EAES Participation. J Abdom Wall Surg. 2023;2:11549. doi:10.3389/jaws.2023.11549. google scholar
-
25 Hubbard G, Munro J, Goodman W, Russell S, Taylor C, Beeken RJ, et al. Lived experience of parastomal bulging: A mixed methods study. J Abdom Wall Surg. 2024;2:12478. doi:10.3389/jaws.2024.12478 google scholar
-
26 Schiedeck TH, Schildberg C, Klink CD, Kneist W, Yürek S. Repair of parastomal hernias with intraperitoneal funnel meshes: A prospective study. Sci Rep. 2024;14(1):1435. doi:10.1038/s41598-024-69667-y. google scholar
-
27 Zhou Z, Yu Z, Liang Y, Zhang M. A modified surgical technique to prevent parastomal hernia: preservation of posterior rectus sheath integrity. Front Surg. 2022;9:907316. doi:10.3389/fsurg.2022.907316. google scholar
-
28 Lopez-Cano M, PeReİRa RodRİguez JA. PaRastomal heRnia pRevention with mesh in the context of laparoscopic approach: An opinion based on the current liteRatuRe. FRont SuRg. 2018;5:19. doi:10.3389/fsuRg.2018.00019. google scholar
-
29 Lopez-Cano M, PeReİRa RodRİguez JA. ExeRcise and the abdominal wall: FRİend or foe? Hernia. 2018;22(l):49-58. doi:10.1007/s10029-017-1664-z google scholar