This topic is about managing an ostomy wafer when someone is undergoing gallbladder surgery, especially when the incisions from the surgery overlap with the stoma area. This can be a bit tricky, so here are some helpful tips and insights to consider:

- The surgeon might need to make incisions in the same area where your ostomy wafer usually sits. During the surgery, someone might have to lift or hold up the ostomy to access the gallbladder. After the operation, stitches or other closure methods could end up directly beneath the wafer.

- If possible, ask your surgeon if a laparoscopic (key-hole) approach can be used. This method leaves smaller ports that are easier to manage under a wafer compared to a full open incision.

- Some people have shared their experiences:
- One person had both gallbladder removal and ostomy creation at the same time, with the wafer edge directly on the incision. They used a wound-vac assisted closure and managed to use both one-piece and two-piece systems long-term, although skin irritation can occur even with barrier spray.
- Others have had staples or laparoscopic scars under the flange without any issues.

- Be aware that standard wafers might not stick well to thick scars, which can cause irritation or lifting. Barrier spray can help, but it might not completely solve the problem.

- Before surgery, it's a good idea to:
- Contact the hospital’s wound-care and ostomy nurses to create a detailed post-op plan for managing the pouching system over or near incisions. This ensures you have quick support if leaks occur.
- Talk to your ostomy product manufacturer. Explain that a fresh incision might be beneath the barrier and ask:
- If their wafer can safely cover a new surgical wound.
- If they offer a smaller-footprint barrier, a different shape, or a sterile alternative.
- What additional dressings they recommend applying over the incision before the wafer, like hydrocolloid strips or thin film.
- Bring extra supplies like pouches, rings, barrier strips, and belts to the hospital. Have a backup plan in case your usual system doesn’t work.

- Be prepared for more frequent leaks right after surgery, especially if the stoma is manipulated or held up. Keep a good supply of mounting plates, rings, and pouches to avoid any panic.

- Emotional support is important. Trust your surgical team, as they are skilled in careful placement and modern closure methods, like using skin glue instead of sutures, which can help minimize complications.