This topic is about the experiences and advice related to ostomy revision surgery, particularly for those dealing with a flush or "innie" colostomy stoma. The discussion includes insights on recovery time, hospital stays, and practical alternatives to surgery.

Here are some helpful points and advice shared by others:

1. **Current Care and Alternatives**:
- Before considering surgery, try a full convex setup with accessories. This includes using a convex wafer, a moldable seal or ring, and a skin-barrier film like Cavilon No-Sting Barrier Film Spray or Brava Skin Barrier Wipes.
- Cut the pouch opening slightly smaller than the stoma to improve the seal.
- Consider using an elastic ostomy belt to keep the convex system snug.
- Products like Skin Tac and Brava Protective Seal can be helpful.

2. **Hospital Stay and Recovery**:
- The surgery is usually short, with most people staying in the hospital for one night or less. Some even go home the same day.
- Pain is generally minimal to mild.
- Returning to office work can be possible in about three days, with light physical activity in 1-2 weeks and full exercise in about two weeks.
- Some people may need several weeks of limited activity.
- Revision surgery might enlarge the stoma diameter, but it is not always a permanent solution. Some may still experience retraction or need further revisions.

3. **Long-term Outcomes**:
- Many find revision surgery to be a great decision, eliminating leaks.
- Others experience only temporary relief, with some eventually having the colostomy reversed or still dealing with periodic retraction.

4. **Colostomy Irrigation**:
- This is an option for those with enough of their large intestine remaining. It involves using an irrigation bag, on/off valve, and rubber cone to perform an enema through the stoma.
- The process takes about an hour and can result in 24-48 hours with little to no output, allowing the use of a small cap instead of a bag.
- It requires a daily or alternate-day commitment and proper instruction, which can be found in videos or support groups.

5. **Additional Tips**:
- "Honeydew" washers or barrier rings can help fill uneven skin, protect fragile tissue, and reduce soreness.
- Drinking a cup of water before changing the bag may prevent further stoma retraction during the change.
- Two-piece convex systems allow you to remove the pouch without disturbing the baseplate.
- Belts provide extra support and peace of mind, especially on change days or during high activity.

6. **Considerations**:
- Everyone heals differently, so it's important to follow your surgeon's advice on lifting, diet, and activity.
- Revision surgery does not always solve all problems, so consider conservative product adjustments and, if eligible, irrigation before opting for further surgery.