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Feb 12, 2025

Alternative Methods for Healing Irritated Skin Below Stoma

This topic is about dealing with raw and irritated skin around a retracted stoma, which sits below skin level, after revision surgery. The person is looking for ways to heal the skin effectively. Here are some helpful suggestions and insights:

- Consult your surgeon as soon as possible:
- Ideally, a stoma should protrude about ¾ to 1 inch above the skin. If it is retracted, it may continue to leak, preventing the surrounding skin from healing.
- Discuss with your surgeon why the stoma was revised to a recessed position and whether it can be revised or lengthened again.

- Consider your weight and abdominal shape:
- Achieving a flatter surface, which might include managing your weight if your BMI is high, can help improve the fit of your appliance and reduce leakage.

- Try products that can help create a better seal and protect your skin:
- Coloplast SenSura Mio Convex Deep Click Barrier
- Coloplast SenSura Mio Click Closed or Drainable Pouch, used with the barrier
- Coloplast Brava Elastic Barrier Strips to secure the edges
- Some people have found success with a "funnel collar" accessory designed for inverted stomas. You can search ostomy suppliers or forums for specific brands and product numbers.

- Follow a skin-healing protocol using prescription 2% lidocaine gel:
1. During each pouch change, apply 2% lidocaine gel to the raw skin and leave it on for 5 minutes to numb the area.
2. Wipe off the gel completely. It is non-greasy and won't affect adhesion.
3. Clean the site thoroughly with an adhesive remover and rinse with warm water.
4. Dry the area gently using a low-heat hair dryer. Reducing pain and inflammation can help with better cleaning and adhesion, promoting healing.
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