This topic is about finding the right hernia support belt for someone who has an ostomy bag. The caregiver's husband developed a large parastomal hernia after his colostomy surgery, and they are experiencing issues with their current belt, which is causing leaks and discomfort. They are seeking a belt with an opening for the ostomy bag or advice on modifying their current belt.

Here are some helpful insights and advice:

1. Look for a belt that has a pre-cut hole or collar for the pouch. Belts without an opening can compress the stoma, block output, and cause leaks or prolapse.

2. Consult with an experienced stoma nurse for proper measurement and product selection. Sometimes, written prescriptions from surgeons or medical-supply stores may not specify the correct model.

3. Consider custom-made options like the "Sash belts" from Sash Medical in Essex, UK. These belts have a plastic collar sized to the appliance and an adjustable Velcro closure. They are NHS-approved and have been used successfully for over 10 years.

4. If you are skilled with sewing, you can create a custom belt. Use firm elastic, add a circular opening reinforced with plastic for the bag, and ensure a proper fit to avoid prolapse.

5. There are low-cost, sturdy belts with holes available online, which can be useful for light exercise or as backup options.

6. Some people have ordered their belts through medical distributors like Med180 after being measured by a hospital stoma nurse.

7. Brands and products to consider include:
- Suportx Firm Easy Peel Belt (current belt causing issues)
- Brava Ostomy Support Belt (being considered)
- Sash Medical stoma/hernia belts
- Various generic belts available on AliExpress

8. Accurate waist and pouch-size measurement, along with a rigid or semi-rigid collar around the stoma opening, are crucial to prevent leakage and additional injury.