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Aug 26, 2017

Facing Colostomy Stoma Resiting: Seeking Advice and Experiences

This topic is about the concerns and considerations involved in resiting a colostomy stoma. The person involved is dealing with issues like retraction and a recurring parastomal hernia, which are causing frequent leaks and appliance blow-outs. They are understandably anxious about the surgery and recovery process and are looking for advice and experiences from others who have been through similar situations.

Here are some key points and advice related to this situation:

1. There is conflicting advice from clinicians. Some suggest leaving the stoma as it is, while others warn that delaying surgery could lead to the hernia getting larger.

2. The person is waiting for consultations with a surgeon and an ostomy nurse to get more clarity on their situation.

3. A major concern is the risk of developing a strangulated bowel if the issue is not addressed.

4. Resiting a stoma is not always straightforward. The abdomen may have limited space for a new site, and the original site usually cannot be reused.

5. If there is limited space, some surgeons might recommend keeping the current stoma as long as it functions, even if it is flat or retracted. Resiting could potentially create more problems than it solves.

6. The decision to resite should carefully weigh the current problems, such as leaks, hernia, and the risk of strangulation, against the risks of surgery and the potential lack of viable new sites.
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