Study of Specific Abdominal Muscle Training to Prevent Parastomal Hernia After Sigmoidostomy Surgery

What this Trial Is About

This research aims to evaluate whether specific abdominal muscle exercises can reduce the risk of developing parastomal hernias in patients receiving a permanent sigmoidostomy after surgery for colon cancer. Parastomal hernias affect about half of these patients and can significantly impact stoma function, physical ability, and quality of life. The study also explores patients experiences living with parastomal hernias to better understand daily challenges. Participants will be randomly assigned to one of two groups one group will receive usual care advice to prevent hernias, while the other will receive the same advice plus specific abdominal muscle training. This training starts before surgery and continues for the first year afterward. The study includes clinical assessments, manual and electronic measurements of hernia size, and computed tomography CT scans to track hernia development at 6, 12, and 36 months post-surgery. Throughout the study, participants will report on stoma function, discomfort, and quality of life using tailored questionnaires. Researchers will record the type of ostomy bandage used and assess physical activity and back pain from before surgery up to 36 months afterward. A subgroup will participate in interviews to share their experiences living with hernias. The studys results aim to improve methods for assessing hernias and inform future patient care after stoma surgery.

Specific Training After Stoma Surgery