For heaven's sake - I wrote out a reply to your most recent item...and it's not here! Well, let me try this again:
Man, it was a long one, too. Let me see how much I can remember of it...
No matter the opinion of the medical professional, what matters most is how the PATIENT feels about the product!
RE: alcohol in paste irritating the skin, healing wounds. Yes, alcohol does sting when nerve endings are exposed. But, it's a double-edged sword, as the alcohol is also antibacterial. Now, good & bad in this, too, is that it doesn't discriminate in which bacteria to kill off. We have some good, needed bacteria on our skin, too.
If you want to try an alcohol-free stoma paste, Terry, I recommend Coloplast's Brava No-Sting Stoma Paste. If you are changing out your appliance every...2 days or less...I suggest using the Brava paste, as it will remove more cleanly from skin, stitches, wounds, than the Hollister Adapt Stoma Paste, which will likely still be very gooey and more difficult to remove at 2 days, especially from around the sutures. I can see where the nurse would have a concern, there: the last thing you want to do is be tugging on the sutures, possibly creating not only pain, but infection.
Bob & I were messsaging a short time ago about paste vs. barrier ring. Never having used one before, my concern was a barrier ring's high-viscosity, and not being fluid enough to fill in the "nooks & crannies" of my skin to prevent leaks. He told me that with warmth and a little pressure, a barrier ring would soften enough to create a leak-proof seal. If your sutures are located to be right under stoma paste or a barrier ring, I have to wonder how much difference there would be in adherence to the sutures - which you're trying to avoid.
I'm using the Hollister Adapt Medical Adhesive Remover spray, #7731, solely to remove my appliance. It's a tad more expensive than the original Adapt adhesive remover spray: the formulation is still the same, and great! The delivery system (can, sprayer) has improved engineering so that more of the spray can be used from the can before the propellant runs out. Less waste, and you get more product for the buck.
I use the medical adhesive remover pads to clean up any adhesive residue from my skin after appliance removal.
Well, Terry, I think I got all my points re-typed in this response. Let me know of any more questions or concerns with which I may be able to assist. : ) Be Well!