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Apr 12, 2025

Ongoing Wound Issues After Stoma Surgery

This topic is about dealing with complications after a stoma relocation surgery. The person had a parastomal hernia repair, but the stoma retracted, leading to issues with keeping appliances in place. A second surgery was performed to relocate the stoma, but complications arose, including a persistent, non-healing wound and bleeding. Here are some insights and advice based on the situation:

1. If you're experiencing complications after surgery, it's important to consult with the surgeon who performed the operation. If they are not helpful, consider seeking advice from another colorectal surgeon. Wound care and emergency rooms may not be able to address surgical issues effectively.

2. A properly relocated stoma should pass through the rectus muscle and peritoneum. If the bowel is only tunneled under the skin and fascia, it can lead to ongoing problems like persistent wounds and bleeding.

3. The surgeon who performed the surgery should be actively involved in managing any postoperative complications. It's not appropriate for them to defer responsibility to the emergency room or wound care services.

4. Consider getting second and third opinions from experienced ostomy surgeons, especially those at major academic centers, such as the University of Washington. They may provide more insight into the situation.

5. Continue to advocate for yourself until you receive a clear explanation and a treatment plan that addresses the complications you're experiencing.
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