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Case 1: Troublesome stoma

This 57 year old man was having increasing discomfort from his stoma and associated leakage from a stoma appliance that was difficult to apply.

1. What abnormality is shown?.

A parastomal hernia

2. Methods for repair?

-consider stoma closure restoring intestinal continuity

-resiting stoma to another area with non attenuated abdominal wall tissues

-local repair. This may include amputation of some bowel length, suture plication of the abdominal wall defect, mesh repair to reinforce the abdominal wall tissues.

3. What is the elastic garment around this patients waist?

-abdominal binder for symptomatic relief