None listed
Conditions
Brief summary
Parastomal hernias are common complications following bowel cancer surgery with the formation of a stoma. These occur when abdominal contents protrude through the abdominal wall at the stoma site. Hernia symptoms can include pain, bulging, leakage, skin irritation, difficulty fitting the stoma, and occasionally life-threatening complications. The main treatment is surgical repair – but unfortunately the rate of hernia recurrence is high. Stoma guards and supportive devices can provide support to the abdominal wall around the stoma site, reducing symptoms associated with hernias, and possibly the need for surgery. The aim of this project is to 3D print a tailored stomal guard to improve quality of life, reduce pain, and the risk of surgical intervention.
Interventions
The aim of this project is to design and 3D print a stoma guard that is tailored to a patient's individual abdominal wall and stomal measurements, with the goal of improving their quality of life, reducing pain, and lowering the requirement of surgical parastomal hernia repair. We will take detailed measurements of each patient's waist, abdominal wall and stoma to create a customised stoma guard design. We estimate this will take 45 minutes to complete, and will be undertaken by a medical student and research fellow working on this project. With these measurements, we will print using polylactic acid polymers and fit the customized stoma guards to the patients, ensuring proper comfort and functionality. Patients will wear the guards for four weeks, and be encouraged to wear the guard while not sleeping/bathing, or emptying the stoma bag. Participants will be asked to clean the guard between each emptying of the bag with 70% alcohol wipes, which will be provided. A member of the research team will contact the participants each week to monitor use and receive feedback regarding the device.
Sponsors
Study design
Eligibility
Inclusion criteria
1) Patients who have a parastomal hernia 2) Patients currently residing in the Te Whatu Ora Southern catchment
Exclusion criteria
1) Inability to provide consent 2) Inability to converse in English 3) Patients who have an asymptomatic parastomal hernia