Topic Explanation
The discussion centers around experiences with stoma revision surgery. The original poster is scheduled for a stoma revision due to the stoma being flush with the skin, causing pain and skin discoloration. The surgeon is uncertain whether the stoma will need to be relocated or simply pulled out further. The poster seeks advice and experiences from others who have undergone similar procedures, particularly regarding the outcomes and reasons for different placements.
Advice and Insights
- Stoma Relocation Experiences:
- One user had their stoma relocated from the waistline to a higher position, which improved functionality but made it harder to conceal under clothing.
- Consider the impact of stoma placement on clothing choices, especially with thin materials in hot climates.
- Surgical Options and Considerations:
- Be proactive in discussing surgical options with the surgeon. The first option should be to pull the stoma out further before considering relocation.
- If relocation is necessary, ensure the new site is flat and free from abdominal folds or creases to ensure proper appliance attachment.
- Surgical Outcomes:
- Pulling the stoma out more can result in a quicker recovery compared to relocation.
- If the revision is done at the same site, expect the stoma to be larger in diameter.
- Surgeon and Facility Confidence:
- Confidence in the surgeon and facility is important. The original poster is seeing a Harvard-trained doctor at BIDMC in Boston.
- Tummy Tuck Considerations:
- Discuss the possibility of combining a tummy tuck with the revision surgery if loose skin affects appliance adherence.
- Insurance may cover the procedure if it addresses functional issues, but cosmetic reasons might require out-of-pocket payment.
- Post-Surgery Feedback:
- The original poster reported a successful outcome with the stoma being pulled out more, resulting in immediate improvement and a short hospital stay.
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