This topic is about someone who is dealing with ongoing pain and skin irritation after having emergency surgery for a perforated colon. They have a temporary colostomy and are seeking advice on how often to see a wound-ostomy-continence nurse (WOCN) and how to promote healing. Here are some helpful insights and advice:

1. It's important to see a WOCN as often as needed, especially if you're experiencing recurring skin problems and pain. Professional evaluation can be very beneficial.

2. Changing the wafer too frequently can irritate the skin. Consider using a two-piece system, which allows the wafer to stay on longer, reducing skin trauma.

3. For a skin-healing routine, try the following:
- Clean the area gently with baby wipes or regular soap, followed by saline or a no-rinse cleanser.
- Apply a triple antibiotic ointment like Polysporin.
- Use a barrier spray and let it dry before attaching the wafer. Tape the edges for extra security.

4. Ensure the opening in the wafer or flange fits closely around the stoma to prevent leaks, which can cause irritation.

5. Consider using products that can help improve the seal and protect the skin, such as:
- Stoma Seal rings to enhance the seal.
- Alcohol-free paste.
- Stoma powder, which you're already using.

6. You can request free samples from manufacturers like Hollister, Coloplast, and ConvaTec to find the best products for your needs.

7. To reduce odor and keep curious pets away, try putting a small amount of mouthwash in the pouch.

8. When considering surgery for ostomy reversal, choose a surgeon with a strong track record in this area, even if it means traveling to a different hospital.

9. Remember that healing takes time. It's okay to feel frustrated, and it might help to have your husband join you for walks to stay active and supported.