This topic is about dealing with mucocutaneous separation after an ileostomy revision. This condition occurs when the skin around the stoma starts to pull away as the swelling from surgery goes down. The main goals are to prevent infection and encourage healing. Here are some strategies and insights that might help:

1. Engage in daily infrared-light sessions to support healing.
2. Take oral supplements such as collagen, vitamin C, flavonoids, and increase protein intake to aid tissue repair.
3. For topical care, ensure thorough cleansing of the area, apply silver gel on the wound, and use "crusting" ostomy powder with a skin barrier and paste.
4. Change the ostomy appliance every 1-2 days to maintain hygiene and comfort.

The separation is slowly getting larger, but both the surgeon and the Wound, Ostomy, and Continence Nurse (WOCN) believe it will heal with careful monitoring. The poster is seeking advice from others who might have experienced similar issues.

Additional context includes:

- The latest revision involved sutures, while a previous revision by the same surgeon healed normally.
- The original ileostomy, performed by a different surgeon, had healing issues due to severe Crohn’s-related malnutrition and high-dose steroids.
- The current WOCN applied a silver alginate dressing with Duoderm, and a follow-up is planned in about 10 days.
- Crohn’s disease and immunosuppressive medications are expected to slow down the healing process.
- The diet includes 2-3 home-blended nutritional shakes daily, with a preference for Metagenics products. The poster previously tried Ensure but found its high sugar content problematic.
- Dark chocolate (for its high flavonoid content) and hemp protein are used for added nutrition and to boost morale.

Some additional advice and insights:

- Clarify the surgical fixation method used, such as whether titanium capillary clips or other anchoring devices were involved, as this can affect healing.
- Maintain a "skin-friendly" diet. If solid foods are challenging, consider commercially prepared nutritional beverages like Ensure or similar options to ensure adequate protein and calorie intake.
- Keep working closely with both the surgeon and WOCN. Even slow healing is a positive sign.
- Emotional support is important. Small morale boosters like dark chocolate can help maintain a positive outlook.