Inverted Stoma Issues After Hernia Repair: Seeking Advice

Replies
3
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113
BlazeHuber
Feb 08, 2025 4:16 am

I recently had a peristomal hernia/prolapse repaired with mesh. Now my stoma is below the skin, like down in a funnel. I have a belly—not huge, but 25 lbs overweight. The skin is ulcerated around the stoma, bleeds, so nothing will stick. I have tried crusting, hydrocolloid rings, and they do not stick because of the oozing/leaks. I just cannot wear a convex wafer because it pushes so much on my belly. The Hollister wafers—flat or convex—are so firm; when I move around or bend (even sitting in a chair, reaching forward for something), the firm barrier pushes the wafer away from my body. The stool is pasty, collects behind the ring in my wafer, and within a day, leaks so badly the wafer adhesion fails. Nothing seems to work for me. I have purchased a tube of 100% silicone and am tempted to try it. Any meaningful suggestions will be appreciated. Thank you.

SusanT
Feb 08, 2025 4:48 am

Try a different brand. I don't know which brand, but I know someone makes a flexible, or at least more flexible, wafer.

You will need revision surgery... talk to your surgeon to find out how soon they will schedule it. But in the meantime, you need to find a system that works for you.

With a stoma below skin level, you really need a convex wafer. It is hard to imagine that anything else will work for you.

Coloplast makes a star-shaped wafer designed to help people with hernia bulges that dislodge the appliance. I'd think that was worth a try here.

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BlazeHuber
Feb 09, 2025 2:41 am

Another very frustrating day today. Stayed in my recliner all day, exhausted from all the hassle. Tried a couple of things, cannot get anything to stick to my irritated skin. Discouraged.

BlazeHuber
Feb 09, 2025 11:01 pm

Folks, this is my second revision in 4 months! Not up for another!