Topic Explanation
The discussion centers around dealing with stoma leaks, particularly in the context of having a hernia next to and under the stoma. The original poster (OP) has experienced significant leakage issues with flat wafers due to skin creases and a newly developed hernia. They found success with Hollister's high output convex bags, which lasted several days without leaks. However, attempts to use Sensura Mio's star-shaped wafers resulted in immediate leaks. The OP is seeking advice and sharing their experience to help others in similar situations.

Advice and Insights

1. Contacting Ostomy Nurse and Resources:
- It's crucial to stay in touch with your ostomy nurse for guidance.
- Utilize resources like the United Ostomy Association of America (UOAA) and Ostomy101.com for comprehensive information on managing an ostomy, including skin care, products, and lifestyle tips.
- Consider joining a local support group for additional support and advice.

2. Product Recommendations and Techniques:
- Convatec Active Life Hard Convex Pouch:
- Effective for preventing leaks, especially after hernia surgery.
- Use a ring with the pouch for added security.
- Hollister Convex Barriers:
- Switching to convex barriers can significantly reduce leaks, especially if there are dips or creases around the stoma.
- Adding a barrier ring can extend the time before a leak develops.
- Custom Solutions:
- Cutting a 4x4 skin barrier to create custom rings can help manage leaks.
- Using Tegaderm (clear adhesive film) under the bag can provide additional protection.

3. Specific Techniques for Managing Creases and Hernias:
- Layering Seals:
- For creases under the stoma, layering seals (e.g., cutting a 1/3 seal across the crease, adding another 1/2 seal on top, then the full seal) can effectively prevent leaks.
- Heat Pack:
- Applying a heat pack after changing the appliance can help everything stick together better, reducing the likelihood of leaks.

4. Personal Experiences:
- Some users have found that flat wafers work fine even with a hernia, though this may not be the case for everyone.
- Individual experiences with different products can vary, so it may be necessary to try multiple solutions to find