This topic is about someone who has had an ileostomy for nearly 30 years and is now considering surgical revision because weight gain has caused their stoma to become flat. This flattening has led to shorter appliance wear-time and frequent leaks. They are curious about the possibility of surgery to reform the stoma, the risks involved, and are seeking advice from others who have undergone similar procedures.

Here are some insights and advice shared by others:

1. Stoma revision surgery is possible. One person shared their experience of having their surgeon perform a revision a few weeks after the original surgery to extend the stoma's protrusion. After this re-formation, they did not experience further issues.

2. Before deciding on surgery, consider using convex or insert accessories. Another person mentioned using inserts with the flange to help push the stoma outward. Over time, this helped reshape the stoma. They also discussed surgical revision with a surgeon, who confirmed it as a viable option.