This topic is about someone who has been living with a colostomy for two years and is facing challenges with their ostomy appliance after undergoing hernia repair surgery. The surgery resulted in a retracted stoma, making it difficult to find a suitable wafer that prevents leakage. The person is considering switching from a 2-piece closed system to a 1-piece system to address these issues. Here are some helpful insights and advice:

- Consider switching to a drainable system:
1. A 2-piece drainable pouch allows you to open the tail to empty it without detaching or rinsing, reducing the risk of spillage.
2. If the output is thick, adding a little warm water can help it flow out more easily, which can also help reduce waste and expenses.

- Explore 1-piece options designed for retracted stomas:
1. Marlen offers a bowl-shaped 1-piece system.
2. Convatec Active Life 1-piece drainable pouch.
3. Convatec Esteem Body 1-piece drainable line, which comes in various shapes and flexibilities.

- Use convexity and accessories to help with pancaking:
1. A convex 1-piece system can bring the pouch opening closer to a retracted stoma.
2. Brava protective sheets can be cut to fit right at the opening to protect the peristomal skin.
3. Increasing oral fluid intake may help reduce pancaking issues, as some users have reported fewer problems when well-hydrated.

- Seek professional and manufacturer support:
1. Contact ostomy product manufacturers and speak with their WOC nurses for product suggestions and free samples.
2. Consult with an ostomy surgeon to evaluate if a revision is necessary if the retraction cannot be managed with appliances.

- Consider personal abilities and lifestyle:
1. Those with limited manual dexterity might prefer changing closed pouches rather than handling a drainable tail.
2. The frequency of emptying and the cost of supplies should guide your decision. Some people choose to rinse and reuse closed bags, while others find the effort not worthwhile.