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Conditions We Treat: Parastomal Hernia

A parastomal hernia occurs when the intestines press outward near a stoma, the hole created for a colostomy or ileostomy appliance. This causes a bulge under the skin. It can also cause pain and bothersome leakage. Parastomal hernias are the most common complication of ostomy surgery. Though rarely dangerous, severe symptoms may indicate the need for emergency treatment.

Parastomal Hernia: What You Need to Know

Parastomal hernia surgery at Johns Hopkins
  • Pressure from inside the abdomen, such as chronic coughing, sudden weight gain or fluid buildup, may increase the risk of parastomal hernia.
  • People with ostomies should avoid heavy lifting without the aid of a supportive belt.
  • Your doctor’s goal will be to minimize symptoms, avoiding surgery if possible.
  • Ostomy or hernia repair surgery using a synthetic mesh has been found to strengthen the stoma site and decrease the risk of parastomal hernia.
  • If surgery is required, your doctor may choose to relocate the stoma to another site.

Patient Resources

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Why choose Johns Hopkins for parastomal hernias?

Our Physicians


Rely on the expertise of our surgeons to diagnose and repair parastomal hernias.

Our Patient Education

Kimberley Steele, Michael Schweitzer, Thomas Magnuson and Hien Nguyen

Dr. Hien Nguyen, director of the Johns Hopkins Comprehensive Hernia Center, answers some of the most frequently asked questions about common hernias.

Common Hernia Diagnosis and Treatment

Women and Hernias

Minimally Invasive Hernia Surgery