Hey LM, haven't experienced this myself but definitely heard an earful about
it. The WOCNs at my hospital warned me nonstop so I hope I can pass on their wisdom to you!
Basically the mucus or bottom
opening of the loop stoma has a tendency to go flush moreso than the top, so if you cut your wafer so that it seems to be a nice close fit around the stoma, you're actually covering
opening, resulting in mucus seeping under the wafer and causing leaks. According to them the way to combat this is to cut your wafer with some extra space just at the bottom where the mucus
opening is. It won't irritate your skin and this way it has a hope of seeping on TOP of the flange instead of getting underneath.
Does that make sense? Leaks suck, there are always tragedies in the world, doesn't mean we can't be upset about
sillier things too
dx'ed UC pancolitis 5/12
past meds: asacol hd, VSL#3, apriso, rowasa, xifaxan, 6mp, cortifoam, pentasa, cimzia, canasa, butyrate, flagyl, cipro, prednisone, remicade, methotrexate, cholestyramine, cortenema
current meds: none!
step one: colectomy, end ileo 1/16/13
step two: j-pouch construction, loop ileo 5/1/13
step three: takedown 7/31/13