Which condition may indicate the need for an ostomy to be surgically revised?

The condition that may indicate the need for an ostomy to be surgically revised is persistent stoma necrosis. Stoma necrosis refers to the death of tissue at the stoma site, which can occur due to impaired blood flow or tension on the stoma. When necrosis is persistent, it suggests that the stoma is not receiving adequate blood supply, which may lead to further complications such as infection, or it may even necessitate surgical intervention to ensure the stoma is functioning properly and is healthy. Surgical revision may be required to correct the position or shape of the stoma or to repair any underlying vascular issues.

In contrast, options describing a healthy stoma appearance and normal output from the stoma indicate that the stoma is functioning effectively and is well-maintained. These conditions are signs of a healthy ostomy and do not warrant revision. Pain during stoma care may represent discomfort or sensitivity, but it does not necessarily indicate that surgical revision is required unless it is accompanied by other more concerning signs, such as necrosis. Thus, persistent stoma necrosis is the key indicator for the need for surgical revision.