Which of the following is NOT a risk factor for peristomal hernias?

• A. Steroid therapy
• B. Pregnancy
• C. Incorrect surgical placement
• D. Regular exercise

Answer: (D)

Regular exercise helps build abdominal muscle tone and core stability, which strengthens the abdominal wall around the stomal opening and can reduce the likelihood of a peristomal hernia. Steroid therapy can weaken collagen and impair wound healing, making the fascial layers around the stoma more prone to bulging. Pregnancy increases intra-abdominal pressure as the uterus enlarges, placing more stress on the abdominal wall near the stoma. Incorrect surgical placement can compromise support around the stoma, creating a weakness through which herniation can occur. Thus, regular exercise is not a risk factor for a peristomal hernia; it tends to protect against it.