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      The right choice of stoma bag

      Do you fight with stoma leakage and skin problems?

      If this is the case, you might have experienced excretion settling under the wafer. Or maybe the skin around your stoma constantly feels painful and appears red or irritated. All this could impact the health of your skin, your mobility, and your overall well-being. 

      Man talking to nurse, with hands on right side of abdomen

      Identify the challenge

      Your are not alone! Stoma leakage and skin irritation can occur more often than you might think.1,2 No matter whether you’ve just had surgery or are a true veteran: It can happen to anyone. Even if you've had no problem with leakage before, the shape of your stoma or your body might have gradually changed over time and may affect the seal of your stoma bag.3

      • 0%

        of people with a stoma may experience leakage during their lifetime.1

      • Up to

        0%

        of the ostomy population can be affected by peristomal skin problems.2

      While the reasons for skin irritation and leakage are manifold, the outcome can often be very similar: skin irritation and damage, sore spots, pain, reduced adhesiveness, more leakage, more insecurity.

      Why do problems with your bag system and leakage occur?

      Numerous contributing factors may affect the seal of your stoma system. To name just a few:

      • a flush stoma which is a stoma at the level of the abdominal skin4
      • a retracted stoma, which sits below the level of the abdominal skin5,6
      • uneven skin around the stoma with skin folds, creases, wrinkles7,8,9
      • flabby abdominal skin7

      In such cases, a conventional wafer might simply not fit perfectly or close well around your stoma.

      Have you already tried a convex stoma bag system?

      A stoma bag with a convex-shaped wafer which curves into the peristomal skin might be an alternative for you.

      Stoma bag systems with curved wafers have been designed to create sufficient pressure around your stoma to make it protrude into the bag. This contributes to a better seal and helps the output to be directed into the bag rather than underneath the wafer.1,4,5,9 

      In a nutshell: Convex wafers are designed to1,4,5,9,10

      • provide a good seal around the stoma
      • help prevent leakage
      • help your peristomal skin to stay healthy
      • simplify stoma management for you

      This can work for you, regardless of your size, weight, or whether you are a newbie or a veteran at managing your stoma.

      Soft convexity for extra comfort and flexibility 

      ‟Soft convexity” refers to a combination of a convex-shaped wafer and a highly flexible wafer material which enables the appliance to shape and form your body contours in an even more comfortable way.3

      blond woman with red pullover who bends one leg and stretches out both arms

      The balance between the right amount of pressure and softness can help seal your stoma more securely to the surrounding skin.

      Common advantages of soft convex products:5

      • more comfortable to wear than conventional ones
      • create slight, but enough pressure for a good seal around the stoma
      • likelihood of leakage decreases
      • can help to keep your peristomal skin healthy

      O’ what a feeling

      Latest generation soft convex stoma bag: Flexima® Active O’ convex

      Elderly man with glasses and beard who looks surprised and puts both hands to his face

      Discovering the soft convex product Flexima® Active O’ convex could start a new chapter in your life with ostomy.

      O’ what a flexibility

      From the moment you touch the smooth and soft material of the wafer, you may feel a difference. The soft material of the wafer follows every move you make. Fewer worries about leakage, more time again for all the things you love most!

      How is that possible?

      The flexible ring in combination with a gentle slope can offer numerous benefits for you:

      • smooth and soft material
      • shapes and forms your body contours
      • high flexibility
      Elderly man with hat and blue shirt does a kick
      O‘ what a change
      Man in dynamic movement with arms at horizontal height of shoulders

      Flexima® Active O’ convex seals your stoma which might increase your sense of security, and it also protects your peristomal skin. Apart from the skin-friendly, soft and flexible material, it is also easy to put on and remove. 

      Experience all benefits:11

      • easy to put on and to remove
      • protects your peristomal skin
      • for all types of stoma

      Select your product version

      Convenient for ileostomy and colostomy

      • Easy to empty through wide 7 cm outlet
      • Smart closing – fold and press adhesive stripes together
      • Softened edges for increased comfort once outlet is closed
      • Discreet bag design – just the same size as a closed bag when folded
      Flexima® Active O' convex Roll'up bag

      Convenient for high-output stoma

      • Easy handling
      • May be a comfortable solution – day and night
      • Very large run-off width of 50.3 mm enables fast flow and easy evacuation of liquid stool and debris
      • Easy connection to a distal bag such as Flow Collector
      Learn more about the Flow Collector
      Flexima Active O' convex High Flow stoma bag and distal bag Flow Collector

      Convenient for colostomy

      • Ergonomic shape
      • Designed for a high level of comfort
         
      Flexima® Active O' convex closed bag

      Convenient for urostomy

      • May be a comfortable solution – day and night
      • Uro-specific outlet with open/ closed position
      • Locking system closes with audible click
      • Easy connection to a distal bag such as Uribag®
      Learn more about the uro-specific outlet
      Flexima® Active O' convex urostomy bag with distal bag Uribag®
      Ally Paste, Ally Powder, Ally Rings, Ally Wafer extension displayed on a surface in a private bath room.

      Your stoma nurse recommends to use stoma accessories?

      The Ally® accessory range is designed to enable an even more personalized care of the individual stoma and can can help to protect and care for the surrounding skin. 

      chevron_rightLearn more about tips to help avoid peristomal skin irritations

      You want to try an alternative convex product?

      B. Braun offers a wide range of convex options to choose from, so everyone can find the right solution. To make the best decision for you, it is helpful to consult with your nurse and have an abdominal assessment to determine the most suitable appliance and depth of convexity. Depending on how your stoma sits, a 4 to 8 millimeter convexity is sensible.

      Overview of the convex stoma bag product range

      References

      1. Evans M, White P. Selecting convexity to improve and maintain peristomal skin integrity. Br J Nurs. 2020 Sep 10;29(16):S8-S14. doi: 10.12968/bjon.2020.29.16.S8. PMID: 32901550.

      2. Andersen NK, Trøjgaard P, Herschend NO, Størling ZM. Automated Assessment of Peristomal Skin Discoloration and Leakage Area Using Artificial Intelligence. Front Artif Intell. 2020 Sep 10;3:72. doi: 10.3389/frai.2020.00072. PMID: 33733189; PMCID: PMC7861335.

      3. Martins L, Andersen BD, Colwell J, Down G, Forest-Lalande L, Novakova S, Probert R, Hedegaard CJ, Hansen AS. Challenges faced by people with a stoma: peristomal body profile risk factors and leakage. Br J Nurs. 2022 Apr 7;31(7):376-385. doi: 10.12968/bjon.2022.31.7.376. PMID: 35404660.

      4. Cronin E, A guide to the appropriate use of convex stoma care products. Gastrointestinal Nursing 2013; Vol. 6, No. 2. DOI: 10.12968/gasn.2008.6.2.28803. ISSN: 14795248.

      5. Hoeflok J, Salvadalena G, Pridham S, Droste W, McNichol L, Gray M. Use of Convexity in Ostomy Care: Results of an International Consensus Meeting. J Wound Ostomy Continence Nurs. 2017 Jan/Feb;44(1):55-62. doi: 10.1097/WON.0000000000000291. PMID: 28002174; PMCID: PMC5266410.

      6. Hoeflok J, Kittscha J, Purnell P. Use of convexity in pouching: a comprehensive review. J Wound Ostomy Continence Nurs. 2013 Sep-Oct;40(5):506-12. doi: 10.1097/WON.0b013e3182a219b7. PMID: 24448619.

      7. Turnbull GB, The convexity controversy. Ostomy Wound Manage. 2003 Jan;49(1):16-7. PMID: 12532029.

      8. Young MJ, Convexity in the management of problem stomas. Ostomy Wound Manage. 1992 May;38(4):53-4, 56, 59-60. PMID: 1590908. Abstract.

      9.Perrin A. Convex stoma appliances: an audit of stoma care nurses. Br J Nurs. 2016 Dec 8;25(22):S10-S15. doi: 10.12968/bjon.2016.25.22.S10. PMID: 27935354.

      10. Data on file: Lukas Schaumann – Report on Flexima®/Softima® Key post-marketing user evaluation. 2005-03-23.

      11. Rat P, Robert N, Fernandes I, Edmond D, Mauvais F. Evaluation of a one-piece soft convex ostomy appliance: a prospective, multicentre, open-label pilot study. Br J Nurs. 2018 Sep 6;27(16):S20-S28. doi: 10.12968/bjon.2018.27.16.S20. PMID: 30187789.

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