Topic Explanation
The discussion centers around issues with a retracted stoma following a peristomal hernia/prolapse repair with mesh. The original poster describes their stoma as firm, cone-shaped, and retracted about 3/8" below skin level, causing difficulties with wafer fitting and leading to skin irritation and pain. They express frustration with the inability to find a suitable wafer and inquire about the possibility and implications of having their stoma revised to be at skin level.

Advice and Insights
1. Skin Protection and Adhesion:
- Use liquid skin protectants like Calvion 3M Advanced Skin Protectant or Marathon to help the bag adhere better and protect the skin.

2. Stoma Revision:
- Revision surgery is suggested for retracted stomas. It involves pulling the intestines out to provide more length. The procedure is considered minor compared to the initial creation of the stoma, with some soreness and pain expected post-surgery.

3. Moldable Seals:
- Consider using moldable seals between the skin and the appliance to improve fit and protection.

4. Consultation with Healthcare Professionals:
- It is recommended to consult with a doctor, particularly a gastroenterologist and a general surgeon, to discuss the possibility of revision surgery. The stoma should ideally be 3/4 of an inch above the skin line to avoid complications.

5. Hernia Support:
- Wearing a hernia support belt is suggested as an alternative to surgical repair, as hernia repairs are not always successful and can sometimes worsen the condition.