This topic is about the complications that can arise after an unexpected surgery to widen a stoma. Mike, who had a painful lump near his stoma, underwent surgery with the understanding that his stoma would only be altered if a hernia was found. However, the surgeon widened the stoma without his consent, leading to several complications. Mike is now seeking advice and insights from others who might have experienced similar situations.

Here are some helpful points and advice:

1. Widening or revising a stoma is sometimes necessary when the current opening is too small due to issues like strictures, adhesions, or hernias. Enlarging the opening can help restore proper flow.

2. If you experience a blockage, a stoma nurse can teach you how to perform digital evacuation. This is a technique similar to using a tool to clear a clogged pipe and can be tried before considering more invasive procedures.

3. From personal experience, one person had an emergency ileostomy revision due to a pin-hole stricture. The surgeon enlarged both the stoma and the narrowed section behind it, which improved the output immediately. However, swelling can continue as the intestines return to their normal size.

- After revision, the stoma may become flush or slightly recessed, which can affect the fit of skin barriers. Many barriers have a maximum capacity of about 1½ inches.

- It's common to have raw and painful skin around the stoma while staples and stitches are still in place. Make sure the barrier opening is cut large enough to prevent irritation.

- Untreated strictures can lead to serious complications like intestinal rupture, so timely surgical assessment is crucial.

4. Be cautious, as some surgeons might quickly opt for major surgery. It's important to consider all less invasive options first. Think of the issue as a "plumbing" problem—focus on identifying and clearing the obstruction rather than immediately resorting to surgery.