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Dergiler / CURARE Journal of Nursing / 2026 / Sayı: 8

Importance of Abdominal Wall Strengthening Exercises in the Prevention of Parastomal Hernia

Hamdiye Banu Katran(Marmara University Faculty of Health Sciences, Department of Nursing, Surgical Diseases and Nursing)0000-0001-5095-6316
Nurgül Arpag(Istanbul Atlas University, Faculty of Health Sciences, Department of Nursing)0000-0002-7774-3844
Sevgi Gür(Selcuk University, Faculty of Nursing, Department of Surgical Diseases and Nursing)0000-0002-6925-3351
Sayfa
75–81
Yayın Tarihi
2025-07-11
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

In this context, it is of utmost importance for healthcare professionals to inform and guide patients regarding this matter.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:This review investigates the significance of abdominal wall strengthening exercises in preventing the development of parastomal hernia.
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Temel Bulgular & Veri:It is stated that regular and proper performance of exercises enhances their protective effects against parastomal hernia.
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Sonuç & Katkı:In this context, it is of utmost importance for healthcare professionals to inform and guide patients regarding this matter.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Abdominal wall exercises · hernia prevention · parastomal hernia

Abstract

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.

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Bu Makaleye Atıf Yap

Katran, H. B., Arpag, N., Gür, S. (2025). Importance of Abdominal Wall Strengthening Exercises in the Prevention of Parastomal Hernia. CURARE Journal of Nursing, Sayı: 8, 75–81. https://doi.org/10.26650/CURARE.2025.1654812

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Kaynakça (29)

  1. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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