Reply to w30bob
Hi Bob,
This one I have quite a lot of experience first hand lol since I have a very wonky and weird abdomen along with since issue that aren't allowing my stoma stay out. As far as placing first they have to examine your abdomen how you sit,stand lay ,bend over, lean to the side and lift up your leg etc and the stoma should be placed in the flattest spot as possible while doing all the things stated above, shouldn't be placed in a crease when, or a fat mound , or uneven , a fat mound with lead to retraction As there's not enough muscle to support the stoma, creases and uneven skin can will lead to leakage . And of course not below a belt line (belt line as in hip bone) that's a no no no ever! Now that also goes along with the sites it can be placed there are 3 Spots lower right quadrant, middle quadrant and upper quadrant . In each one of those quadrants on the abdomen you have the rectus abdominal muscle and that's where they have to be and can be placed, along it has to be at least 3 fingers width away from you umbilicus line. Along with they can't place it any higher than the 3rd upper quadrant because it's to close to the rib cage. Then they typically stay on the right side if they can. going to the high up they might not have enough bowel which places to much tension and could cause a retraction.vs the lower quadrant of the abdomen.
I do know colostomy is left and Ileostomy typically right side. With colostomy your not going to have a lot of length to , Ileostomy you have more length to work with since the small is a lot longer( depending on the person and their situation )of course other factors come into play.
I do hope that you are feeling better and everythings going good and working out for you.