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Skin around the stoma

Peristomal skin complications

Unlike skin wounds, where the aim of the treatment is usually the closure of the wound, stomas are surgical openings on the surface of your abdomen intended to remain open to drain the stoma effluent. Complications of the peristomal skin are common and require special treatment.1

a middle-aged man asks the doctor a question while holding the right side of his stomach, a male doctor explains something to him

Nearly half of patients with permanent stomas are affected by peristomal skin disorders. Several reasons, such as chemical irritation, mechanical injury or infections, can contribute to the development of peristomal skin disorders. However, patients are often unaware of it: Up to 56 percent of those with severe skin disorders report that they do not suffer from any skin disorder according to a Danish study 1.  

Preventive action and peristomal skin care

To prevent, recognize and treat initial skin changes, patient education is an essential preventive measure. Diligent skin care, thorough cleansing between bag changes, and even the right adhesive are cornerstones in avoiding and overcoming dermatological complications. The choice of suitable skin care products and stoma appliances to fit the individual needs is crucial. It is important that the ostomy bag has an effective and skin-friendly adhesive. Adhesion to the peristomal skin should be firm enough to prevent leakage, whilst also being easy to remove so that the user can avoid pain and skin damage.1,2

Holistic assessment3

  • Conduct a full holistic assessment of the patient – including complete medical history, diagnosis requiring stoma, mobility status, comorbidities, history of skin problems, and any previous interventions or treatments.
  • Perform a visual inspection and physical examination of the stoma and peristomal skin – including general appearance, skin integrity, presence and distribution of hair; compare the peristomal skin to adjacent abdominal skin and check for any changes.
  • Assess the patient’s current appliance and any effect this has on the skin. Consider changing to a different appliance if necessary and use appropriate accessories to protect the skin.
  • Educate the patient on hygiene and bag application and removal. Provide information and support on self-care and ongoing management.

Ally® ostomy accessories​

Ally® products can help to reduce leakage problems, to protect and care for the surrounding skin and to keep the ostomy appliance securely in place.

Ally® Adhesive Remover

Ally® Adhesive Remover is intended to help remove the skin protector or wafer from the peristomal skin without pain or damage. It is also designed to reduce the negative impact of the adhesive on the skin and therefore preserve the integrity of the skin.Ally® Adhesive Remover is especially recommended for people who are looking for fast and painless removal of their ostomy bag.

Ally® Barrier Film Spray

Ally® Barrier Film Spray is intended to prevent skin breakdown caused by moisture/stoma effluents, to protect peristomal skin at risk from maceration and excoriation and to maintain the integrity of newly healed skin to stop secondary skin breakdown. Ally® Barrier Film Spray is especially recommended for people with irritated or sensitive peristomal skin.

Ally® Belt

Ally® Belt is intended to provide an extra sense of security by giving an added fixation.Ally® Belt is recommended for people with a stoma that needs an extra fixation and therefore security. Users can select the position they prefer to use Ally® Belt thanks to the 3 different positions B. Braun bags offer.

Ally® Rings

Ally® Rings are designed to create a flatter surface around the stoma by filling the cavities and folds. They are intended to prevent irritation, resolve leakage problems and secure the seal.Ally® Rings are especially recommended for people who have skin dips or folds around their stoma. The rings are also adapted for people with lower dexterity.

Ally® Wafer Extenders

Ally® Wafer Extenders are intended to reinforce adhesivity and keep the wafer securely in place for a longer weartime.  They are designed to follow body contours and movements. Ally® Wafer Extenders are especially recommended for people with stoma who have peristomial hernias, stomas that are prolapsed or in a difficult position, skin dips or bony prominences.

Ally® Paste

Ally® Paste is a non-alcoholic paste intended to fill in folds and creases in the intact skin around the stoma. It is designed to reduce the risk of leakages, protect the skin from effluent and may help to extend the weartime.Ally® Paste is especially recommended  for people who have skin dips or folds around their stoma.

Ally® Powder

Ally® Powder is designed to absorb moisture on the peristomal skin around the stoma to keep it dry. It is intended to protect the skin, reduce irritation and allow better stoma bag adhesion. The powder can promote the healing processes of irritated skin.Ally® Powder is especially recommended for people with stoma who have reddened, sore or irritated skin.

Interested in testing our Ally® ostomy accessories?

If you are an ET nurse, a clinical nurse or a community nurse, please fill out the form below. Our local team will contact you to provide the product samples.​

Please note: Sample requests are available only in selected countries.

 

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Bathroom countertop with the full Ally stoma accessory range arranged neatly, including adhesive remover, powder, paste, barrier film spray, rings, belt and wafer extenders.

Do you have a stoma?

Are you living with a stoma? Discover Ally® stoma accessories for a personalized care routine.

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References

  1. Herlufsen P, Olsen AG, Carlsen B, Nybaek H, Karlsmark T, Laursen TN, Jemec GB. Study of peristomal skin disorders in patients with permanent stomas. Br J Nurs. 2006 Sep 14-27;15(16):854-62. doi: 10.12968/bjon.2006.15.16.21848. PMID: 17108855.
  2. Anazawa S, OhmuraY, Yoshikawa R (2001) Physiological actions and skin protecting properties of skin barriers. In Anazawa S, OhmuraY, Yoshikawa R, eds. Skin Barriers for Stoma Care – From Basic Theory to Clinical Application. 1st edn. Alcare Co. Ltd, Tokyo: 49–68
  3. Gray M, Colwell JC, Doughty D, Goldberg M, Hoeflok J, Manson A, McNichol L, Rao S. Peristomal moisture-associated skin damage in adults with fecal ostomies: a comprehensive review and consensus. J Wound Ostomy Continence Nurs. 2013 Jul-Aug;40(4):389-99. doi: 10.1097/WON.0b013e3182944340. PMID: 23652738.

 

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