This topic is about someone who had their ileostomy surgically refashioned last August, but unfortunately, the stoma has started to retract again, looking much like it did before the revision. They are looking for advice on how to manage or stop this retraction.

Here are some helpful suggestions:

1. Reach out to your surgeon or stoma care nurse as soon as possible. If the retraction is significant, another surgical procedure might be necessary.

2. Check for a parastomal hernia, which can cause the stoma to retract or appear retracted by pulling it inward.

3. Consider using a convex wafer or a deep-convex wafer. These can help push the stoma outward and protect the skin around it. If these products fit well and prevent leaks, you might be able to avoid further surgery.

4. If you continue to experience leaks or skin damage even with convexity, it might be a sign that another revision is needed. This could involve relocating the stoma to a new site.

5. It might be beneficial to get a second opinion from a specialist in complex stoma issues. For instance, a high-volume bowel surgeon like Mr. Ian Jenkins, who is now at Park Royal Hospital in Acton, London, could provide valuable insights and options.