Topic Explanation:
The forum topic is about a person who has had an ileostomy since 1991 and has recently started experiencing open wounds around the stoma. Despite good hygiene and care, the wounds keep recurring, causing frustration and embarrassment. The person seeks advice and suggestions to prevent the wounds from reoccurring.

Advice and Insights:
- Consider cutting the hole in the bag to just barely fit the stoma, using powder and skin barrier, and heating the glue on the bag to prevent acids from eating at the glue and skin.
- Get checked for a parastomal hernia, as it can cause excoriation and discomfort, and may require surgery to resolve.
- Consult a dermatologist to identify any skin conditions or issues that may be contributing to the open wounds.
- Consider using Duoderm dressings under the flange to protect the skin and promote healing.
- Seek medical attention to rule out rare skin conditions like pyoderma gangrenosum, which may require specific treatments such as the drug CellCept.
- Explore different barrier options, including convex wafers, moldable eaken seals, and barriers from different manufacturers to find the most suitable appliance that doesn't cause skin reactions.
- Consider trying Salts healthcare products for a better seal and exploring two-piece units from companies like Hollister, which may offer better solutions for preventing leaks and excoriation.

Additional Resources:
- Salt's healthcare website (http://www.salts.co.uk/) offers stoma seal products that can be requested as samples for testing.