This topic is about dealing with issues related to an ostomy bag, specifically when it lifts and leaks near a surgical scar, 10 weeks after laparoscopic surgery. The person experiencing this problem is looking for advice and shared experiences from others who might have faced similar challenges. Here are some helpful suggestions and insights:

1. **Check Pouch Type and Wafer Flexibility**
- Consider asking your nurse or contacting the manufacturer about switching to a convex pouch instead of using a flat, rigid flange. Many people have found that convex wafers, like Coloplast SenSura Mio Convex or flexible Convatec convex wafers, help prevent leaks and pancaking.
- Try experimenting with both one-piece and two-piece systems, as they can behave differently and one might work better for you.

2. **Improve Adhesion Over Irregular or Scarred Skin**
- Use a barrier spray or skin-prep wipe and let it dry completely before applying the flange to enhance adhesion.
- Try the "crusting" technique: apply a skin barrier, lightly dust with Hollister Stoma Powder, and then add another layer of skin-prep or skin-tac to create a tacky, smooth surface.
- Make sure to thoroughly remove any old adhesive with an adhesive remover wipe, then cleanse with plain water and dry the area well.

3. **Compensate for Dips, Scars, and Movement**
- Use flange extenders, which are tapes or rings that stick to the edge of the wafer, to secure the side that tends to lift.
- Consider using a hernia support belt with a pouching hole, as these belts can help hold the wafer down and even out the contours of your abdomen.

4. **If Good Adhesion is Still Impossible**
- Discuss the possibility of stoma relocation with your ostomy nurse during your upcoming appointment if the abdominal contour is preventing a proper seal.
- Reach out to major manufacturers like Hollister, Coloplast, or Convatec for free samples and access to their Wound, Ostomy, and Continence (WOC) nurses for personalized fitting advice.