This topic is about dealing with two common challenges after ostomy surgery: skin allergies to adhesives and managing a parastomal hernia. Here's a breakdown of the situation and some helpful advice:

1. The person is experiencing a skin allergy to the adhesive used on certain ostomy flanges. Ostomy nurses are actively searching for products that won't cause rashes.

2. They have also been diagnosed with a parastomal hernia, which is causing new pain inside the stoma. A local surgeon has advised against immediate repair due to the risks involved and has referred the patient to a specialist. The patient is feeling uncertain and emotionally overwhelmed about the possibility of another surgery.

Here are some pieces of advice and insights that might help:

- Some parastomal hernias can be monitored rather than repaired right away if the pain and functional issues are minimal. However, delaying too long can lead to complications like bowel kinking or rupture, which might require emergency surgery. It's important to discuss the risks, benefits, and timing with an experienced colorectal or ostomy surgeon.

- If the hernia isn't causing severe problems, consider using a hernia support belt designed for ostomates. This can help contain the bulge and reduce discomfort. Make sure to check with your surgeon or stoma nurse to ensure it's suitable and fits properly.

- Seeking a second opinion or having a detailed consultation with a skilled surgeon at a specialized center can be beneficial. This can help you review all available options and develop a plan that you feel comfortable with.

- Continue working closely with stoma nurses to try alternative barrier products with different adhesive formulations. Finding a compatible flange can help alleviate skin reactions and improve overall comfort while addressing the hernia issue.