This topic is about someone who has been dealing with persistent skin issues and leakage around their stoma, which has led them to consider reversing their ileostomy. They initially had a loop ileostomy after rectal cancer surgery, but complications like a parastomal hernia have made managing the stoma increasingly difficult. Here are some insights and advice shared by others:

1. Skin-prep & Adhesion:
- Use a non-alcohol skin prep along with Coloplast Adhesive Spray to create a tacky surface for better adhesion.
- Apply a small bead of Stomahesive around the stoma and use a Coloplast moldable ring. Warming the wafer by hand for 15 minutes can help improve the bond.

2. Accessory Strips & Convexity:
- Coloplast Brava half-moon or accordion barrier strips can help secure wafers over hernia bulges. Ensure the skin is shaved and oil-free for better adhesion.

3. Alternate Pouching Systems:
- Nu-Hope Laboratories offers a non-adhesive O-ring barrier held by a belt, allowing the skin to breathe while healing. They provide customized samples after consultation.
- Consider custom or DIY rigid baseplates made from heat-molded plastic attached to elastic belts. This setup allows appliances to adhere to the plate instead of the skin.
- Liberator Medical can provide samples from multiple manufacturers and offer product guidance.

4. Powders / Pastes / Creams:
- Hollister Karaya 5 and Medline silver powder can help reduce moisture and bioburden, though they require frequent re-application.
- Desitin Maximum Strength zinc-oxide diaper cream or Zincofax can be applied to raw skin to calm inflammation within 24 hours. Taking breaks from wafers can aid healing.

5. Alternative Surgical Options:
- Consider the Barnett Continent Intestinal Reservoir (BCIR) as a non-adhesive, continent alternative if a conventional reversal is not suitable.

6. Imaging Preparation:
- For CT scans, using IV contrast instead of oral prep can help avoid uncontrollable effluent. Confirm this option with your radiologist or surgeon.

7. Hernia Support:
- A hernia belt, such as those from Nu-Hope, can help reduce the bulge and improve wafer contact. Early fitting is recommended.

8. Decision-making:
- It's important to conduct a thorough risk-benefit analysis before deciding on a reversal, as outcomes can vary. Discuss options with an experienced colorectal surgeon and WOC nurse.

9. Emotional Support:
- Many community members express empathy and encourage perseverance, offering support and well-wishes for a successful surgery and recovery.