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Mar 17, 2020

Stoma Revision Update - Progress, Challenges, and Waiting for Plastic Referral

This topic is about someone dealing with ongoing challenges related to their stoma, including issues with retraction, granulomas, and the possibility of needing further surgical intervention. Here are some key points and advice shared in the discussion:

1. After undergoing a second revision surgery, the stoma now protrudes slightly more from the abdominal area. However, this change hasn't fully resolved the problem of leakage.

2. The person is experiencing granulomatous overgrowth, humorously referred to as "Frankenstoma." While some of this tissue has regressed, the surgeon has given permission to use silver-nitrate cautery sticks to self-treat the remaining overgrowth. These sticks are commonly used by WOC nurses and are safe for this purpose, though they will temporarily turn the treated area blackish.

3. During the latest surgical review, the surgeon suggested the possibility of relocating the stoma. The person inquired about whether liposuction around the stoma site might help, and the surgeon agreed to refer them to Plastic Surgery. However, this referral is delayed due to COVID-related issues.

4. The person is dealing with painful sores on the skin around the stoma due to persistent output. They plan to use Marathon Liquid Skin Protectant to help protect the affected area.

5. There is a shared sense of empathy and understanding from others in the ostomy community who are also experiencing surgical delays because of the pandemic. This support can be reassuring for those facing similar challenges.
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