This topic is about managing a severely retracted stoma and damaged skin around it, with a focus on exploring stoma irrigation as a potential solution. Here are some practical tips and advice to consider:

1. Mechanical Solutions:
- Consider using convex wafers, which are designed to help push a retracted stoma outward and improve the seal.
- If convex products do not work, consult with your surgeon about the possibility of a stoma revision.

2. Evaluating Colostomy Irrigation:
- Colostomy irrigation can significantly reduce or even eliminate daytime output, allowing you to wear a smaller "security" pouch instead of a full barrier.
- Ensure you have a healthy segment of descending or sigmoid colon remaining. This should be confirmed by your surgeon, gastroenterologist, or an enterostomal (ET) nurse.
- It's important to learn the irrigation technique from a stoma nurse before starting.
- You can find helpful step-by-step videos on "colostomy irrigation" on YouTube to reinforce what the nurse teaches you.

3. Skin Care for Retracted/Concave Stomas:
- Use 3M Cavilon Advanced Skin Protectant ampules (0.7 ml sponge applicator) to create a durable barrier on raw skin and improve wafer adhesion.
- Apply a new layer with each appliance change, typically every 48 to 72 hours, as stool contact can erode the film in 2 to 3 days.
- Remove the protectant with the same adhesive-remover wipes used for wafer removal.
- Avoid using Cavilon creams or other standard body lotions under the wafer, as they can prevent the appliance from sticking properly.

4. Professional Support:
- Maintain regular contact with your surgeon, ET nurse, or wound-ostomy-continence nurse to monitor skin healing and ensure you remain a suitable candidate for irrigation.