Best Flange for Large Hernia Behind Stoma to Prevent Leaks

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105
doryns
Jul 06, 2024 4:12 am

Stoma leaks because of a large hernia behind the stoma, what to do?

Bill
Jul 06, 2024 7:49 am

Hello doryns. 
The convex flanges would be the best ones to try.
I couldn't get on with them because my hernia was always the problem. 

Hence, I started making my own baseplates to fit my body shape and use prosthetic glue and belts to keep them in place.
I have not had any leakage problems since.

There are pictures and explanations on my profile if you are interested
Best wishes
Bill

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Justbreathe
Jul 06, 2024 11:49 am
Reply to Bill

Interesting how you make DIY baseplates - but you lose me at DIY adaptability…. How does one actually attach a preferred bag (aka pouch) to a DIY baseplate? You mention glue and belts…still confused. It has taken me almost 4 long years trying to discover proper fits (yes, and mental fits as well) to all the highly developed products in the land of “OSTOMY” - and yet I still struggle with seeping issues around the stoma. Speaking of the land of ostomy…. hmmm must be a song or a poem somewhere in that title … perhaps you have already written one…

LAND OF OSTOMY

jb

Justbreathe
Jul 06, 2024 11:56 am

I have the same issue - and as yet - no good remedy - sorry I cannot help…jb

Bill
Jul 06, 2024 9:00 pm
Reply to Justbreathe

Hello JB.
Just a quick note of clarification:

The bag/sleeve will stick straight onto the baseplate without any special assistance or extra glue. It is sticking onto PVC so the adhesion is perfect. 
The probond prosthetic glue is used to stick my baseplate to my skin
I hope this makes things clearer for you.

Best wishes

Bill

 

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papaboo
Jul 06, 2024 11:21 pm

I use Coloplast "SenSura Mio Convex Flip." I use the two-piece, but they do have a one-piece. The bags are removed easier, and clean-up is less of a mess, IMHO.

IGGIE
Jul 10, 2024 1:19 pm

G-Day doryns, Very simple: get rid of the hernia; they will get bigger, so do it now. Regards, IGGIE

Hisbiscus
Jul 21, 2024 11:14 am

I've found the best pouch is the Convatec ActiveLife hard convex pouch. It's a one-piece, and I'm not sure if they make a two-piece or not, but the pouch flange is hard, so it really helps the stoma stick out in the pouch. Being that it's hard convexity, the stoma does not sink back down, as it does with those soft convex pouches. I do believe it is the only hard convex pouch available.

But yeah, as someone else mentioned, get that hernia fixed and be careful about lifting after you get it fixed.

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