This topic is about dealing with a severe rash and a stubborn, non-healing incision after surgery, particularly when the incision is located under an ostomy flange. The person who shared their experience discovered that a clear film placed over their surgical incision caused a severe rash, and despite a week of antibiotics, the incision has not improved. They plan to contact their nurse and are questioning the placement of the incision under the flange.

Here are some helpful insights and advice shared by others:

1. **Surgeon Follow-up**: The surgeon will be available in the clinic soon. The incision looked okay during the last visit but worsened shortly after. It's important to keep the surgeon updated on any changes.

2. **Nursing Support**: The current home-care nurse will return with her supervisor. If you feel the nurse is not equipped to handle the situation, request a wound-care nurse for specialized support.

3. **Wound Size and Location**: The incision is not very large but is directly under the flange, which may be hindering healing.

4. **Extra Support**: Having a friend present during nursing visits can help ensure you understand and remember the instructions given.

5. **Possible Film Allergy and Skin Protection**:
- Some believe the clear film might have caused contact dermatitis.
- A suggested regimen includes lightly dusting the affected areas with Stomahesive Powder and sealing it with 3M Cavilon barrier spray or wipes before applying the appliance.

6. **Alternative Healing Powder**:
- OstoSeal Aloe Vera Powder can be dusted on sore skin, with excess brushed off before applying the pouch directly. This has been reported to calm the skin quickly.

7. **Involve Appropriate Specialists Immediately**:
- It's crucial to see the surgeon for any open abdominal wound rather than a general practitioner.
- Request an assessment by a certified wound-care nurse or a dual-certified wound/ostomy nurse. Inquire about a wound-care physician or hospital Wound Care Center.
- Some hospitals have surgeons specializing in complex wounds, so ask for a referral if needed.

8. **Dressing and Wound-Vac Options**:
- Open incisions under an ostomy may require specialized dressings, regular packing, or a negative-pressure wound-vac system. Healing can take several months.
- Visiting nurses may be necessary for frequent dressing changes.

9. **Be a “Squeaky Wheel” with the Healthcare System**:
- Persistently follow up with every provider, ensure scan results and notes reach each clinician, and don't hesitate to demand second opinions or escalate concerns. Having an advocate or friend present can help track information.

10. **Caution on Product Use**:
- Be cautious with stoma powders meant for peristomal skin, as they may complicate an open surgical wound. Always defer to wound-care professionals before applying anything directly to the incision.

11. **Emotional and Practical Support**:
- Healing can be slow and stressful. Take recovery one day at a time, lean on friends, and use forum peers for continued advice and support.