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The right choice of stoma bag
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.
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]
Numerous contributing factors may affect the seal of your stoma system. To name just a few:
In such cases, a conventional wafer might simply not fit perfectly or close well around your stoma.
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.[1,4,5,10]
‟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.[5]
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:[5,10]
Discovering the soft convex product Flexima® Active O’ convex could start a new chapter in your life with ostomy.
How is that possible?
The flexible ring in combination with a gentle slope can offer numerous benefits for you:
If you have a urostomy, this may be an appropriate solution – at day and night:
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.
[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] Krishnamurty DM, Blatnik J, Mutch M. Stoma Complications. Clin Colon Rectal Surg. 2017 Jul;30(3):193-200. doi: 10.1055/s-0037-1598160. Epub 2017 May 22. PMID: 28684937; PMCID: PMC5498161.
[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] Barr JE, Assessment and management of stomal complications: a framework for clinical decision making. Ostomy Wound Manage. 2004 Sep;50(9):50-2, 54, 56 passim. PMID: 15361633.
[10] 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.
[11] Data on file: Lukas Schaumann – Report on Flexima®/Softima® Key post-marketing user evaluation. 2005-03-23.
[12] see current IFU Flexima® Active O' convex
[13] see current IFU Stoma Belt