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Re: Building stomasch muscles back...

Posted by hernias and stoma care on 16/5/2008, 8:36 am, in reply to "Re: Building stomasch muscles back..."

A surgical incision creates an area of weakness in the abdominal wall, where a hernia may develop. Extra care is needed while the stomach muscles heal There are well known complications for a stoma - the surgeon will always weigh up the benefits of surgery over the negatives: Here is the list - What are the complications of a stoma? Early complications may include: Inadequate blood supply (ischaemia) Retraction of the bowel back into the abdomen Separation of the bowel mucosa from the skin (dehiscence) Infection Bleeding An undesired passage between the bowel and the skin (fistula) Prolonged paralysis of the bowel (ileus), which if not treated may cause a swollen abdomen, vomiting, dehydration, electrolyte imbalance, kidney failure Later complications may include: Prolapse of the bowel out onto the skin Scarring and narrowing of the stoma (stenosis) Leaking of bowel contents onto the skin resulting in irritation, erosion and digestion of the skin Bowel obstruction Excessive protrusion of bowel under the skin surrounding the stoma (hernia) Persistent infection Skin disorders (see below) Varicose veins around the stoma High output of fluid from an ileostomy, causing dehydration and electrolyte imbalance Constipation or diarrhoea Self care is important to future health so for example learning how to avoid infections, learnin how to thicken output and avoiding potential risks - exercise should not be avoided - in fact exercise is crucial to good health but gentle exercise is best as there is a weakness in the stomach wall post op and always a potential for hernias so specific stomach exercise should be avoided in the first 18 months of surgery.

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