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Feb 24, 2018

Need Surgeon for Prolapse Reversal - Urgent!

This topic is about someone dealing with a re-prolapsed stoma and a parastomal hernia. They are seeking advice on finding an experienced surgeon or exploring other options since their current situation is quite uncomfortable. The person is considering having the stoma moved to a stronger site, as a reversal is not possible.

Here are some insights and advice shared by others:

1. Many people have experienced that surgical repairs for prolapse and parastomal hernia often do not last long, with issues returning within weeks or months. Some have had to undergo multiple surgeries, sometimes with the problem worsening.

2. A temporary relief method is manual reduction, which involves gently pushing the prolapsed stoma back in or lying down until it retreats. Hospital staff can assist initially, but patients or caregivers can learn to do this themselves.

3. It's advisable to avoid activities that strain the abdomen, such as sit-ups and heavy lifting, as these can trigger or worsen prolapse episodes.

4. With repeated prolapses, the stoma opening may progressively enlarge, requiring frequent adjustments to the fit of the appliance.

5. Some people choose to live with the prolapse, managing the discomfort and challenges with appliances, such as wearing loose clothing like sweatpants, instead of opting for further surgery.

6. For those whose stoma is flush or slightly dipped after surgery, using convex skin barriers can help achieve a better seal and protect the delicate skin around the stoma until any raw areas heal.
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