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Nov 29, 2022

Colostomy Revision Experiences and Advice Needed

This topic is about a person who has been living with a colostomy for seven years and is now facing some challenges with their stoma. After undergoing surgery to convert their loop colostomy to an end colostomy, they are experiencing chronic leakage due to the stoma being flush and very small. They are considering a revision and have several questions about the process.

Here are some key points and advice shared by others:

1. The person is wondering if a revision would involve moving the stoma to a new location or if it could be adjusted at the current site by pulling it out further.

2. They are concerned about whether another full midline incision is necessary, as they have already undergone four midline surgeries.

3. They are curious about the expected length of the hospital stay and any additional considerations or questions they should discuss with their healthcare provider.

4. In the past, scar tissue was removed during a hernia repair, but a bulge remained. The most recent surgery repaired the hernia again and placed the end colostomy slightly above the previous site.

5. The person has a scar on the right side from a temporary ileostomy and prefers to keep the current stoma location on the left side if possible.

6. One individual shared their experience with a similar situation:
- Their stoma was moved from the right to the left side during revision.
- The surgery started laparoscopically with four small incisions but required a full midline incision due to adhesions and scar tissue.
- The new stoma was placed about 2 inches to the side and 1 inch below the navel, mirroring the previous position on the opposite side.
- They have not experienced any issues with the new left-side location.
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