This topic is about concerns that can arise after a stoma revision surgery. A stoma revision is a procedure to correct or improve the function of a stoma, which is an opening created during surgery to allow waste to leave the body. After such a procedure, it's important to monitor the stoma for any unusual changes. Here are some observations and advice for dealing with post-revision stoma concerns:

- Nine days after the revision, there are small gaps or "wells" on both sides of the stoma, particularly on the left side, where the stoma is not attached to the surrounding skin.
- The central part of the stoma feels unusually firm.
- The tissue around the stoma opening appears darker than the rest of the stoma.
- There is a collection of "goop" or exudate in the gaps.

Since they are still in the hospital and waiting to be discharged, but have not yet seen the surgeon for this issue, here are some steps to consider:

1. Gaps between the stoma and skin might indicate mucocutaneous separation, which needs prompt medical attention and possibly additional sutures.
2. Request an immediate assessment from the hospital’s certified wound/ostomy nurse or any wound-care specialist, rather than waiting only for the surgeon's visit.
3. If the dark tissue is bright red, it is usually normal. However, if it appears dusky, gray, tan, maroon, or black, it could mean there is a problem with blood flow, and it should be reviewed urgently.
4. Be proactive and ask for the assessment to be done with the pouch removed so the clinician can see the entire stoma and the skin around it.
5. Keep track of whether the tissue remains firm, its exact color, and whether it is moist or dry, as these details are important for clinicians to evaluate the stoma's health.
6. If these issues persist after discharge, escalate them quickly to prevent more serious complications. Early intervention is key.