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Feb 08, 2025

Inverted Stoma Issues After Hernia Repair: Seeking Advice

This topic is about dealing with challenges after a hernia mesh repair, specifically when the stoma becomes inverted, sitting below skin level in a "funnel" shape. This situation can make it difficult for adhesive wafers to stick, especially when the surrounding skin is ulcerated, bleeding, and oozing. Here are some insights and advice that might help:

1. Try switching to a different brand of wafer. Some brands offer more flexible options that might adhere better to the skin than the current ones being used.

2. Even though it might be uncomfortable, using a convex system is generally recommended for an inverted stoma. It helps to project the stoma above skin level, which can prevent leaks.

3. Consider trying a star-shaped convex wafer from Coloplast. This design is specifically made for hernia bulges and might offer more flexibility, conforming better to the body's contours.

4. It's important to consult with a surgeon or a Wound, Ostomy, and Continence (WOC) nurse about the situation. They can provide guidance on whether another revision or alternative medical solutions might be necessary, even if surgery is not a preferred option.

5. Keep experimenting with different systems until you find one that maintains a good seal. Protecting the irritated skin is crucial while waiting for a more permanent solution.
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