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Jul 11, 2012

Struggling with Leaking Convex Stoma - Need Advice

This topic is about dealing with persistent leaks after undergoing hernia repair and a stoma revision, which has changed the stoma from being easy to manage to a more challenging convex shape. The person is struggling with leaks and is feeling anxious about returning to work. Here are some helpful insights and advice shared by others who have faced similar challenges:

1. The surgery was necessary due to recurrent obstructions, and while the stoma revision was unexpected, it was unavoidable. It's important to be prepared for such changes and to discuss potential outcomes with your surgeon beforehand.

2. On a positive note, the surgery resulted in a flatter abdominal contour, which is a cosmetic improvement.

3. Choosing an experienced surgeon and having thorough discussions about possible post-surgical changes can make a significant difference in managing expectations and outcomes.

4. For managing leaks, consider trying different products and combinations:
- Coloplast options: Use a FlexPro convex flange with SenSura pouches. Adding a strip or ring of ostomy paste can help create a better seal. Coloplast offers free samples upon request.
- Hollister options: Try the Hollister convex flange #14804 with Adapt Barrier Rings #7805. This combination is reported to have rare leaks.

5. When deciding between barrier rings and paste:
- Many users prefer barrier rings, such as Adapt 7805, because they swell to fill gaps and remain secure even on moist, flush, or convex stomas.
- A flexible convex, pre-cut two-piece system with a barrier ring can provide wear time of up to six days and allow for swimming and showering without detachment.

6. General tips for finding the right fit:
- Keep requesting samples from different manufacturers and experiment until you find a reliable seal.
- Work closely with your stoma nurse to order specific products for trial fitting.
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