This topic is about dealing with a prolapsed ileostomy stoma that has developed alongside a mild parastomal hernia. The person experiencing this issue has noticed that the upper part of their stoma has prolapsed, causing the bowel's exit to shift to the lower edge. This shift makes it difficult to fit a 2-piece pouching system properly, sometimes resulting in skin irritation due to an insecure seal. They are seeking advice from others who might have undergone surgery to correct a prolapsed stoma and are looking for shared experiences or guidance.

Here are some helpful insights and advice shared by others:

1. It is recommended to consult with a colorectal surgeon or a stoma specialist. Surgical revision is an option, but it is usually considered only when symptoms like leakage, skin breakdown, or problems with the appliance become significant.

2. A stoma nurse and surgeon have noted that a stoma "review" or revision surgery is a recognized option. However, it is typically reserved for severe or unmanageable complications rather than minor cosmetic concerns.