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Jul 03, 2021

Disappointing Colo Barrier Experience - Need Advice!

This topic is about someone seeking advice on dealing with issues related to Coloplast ostomy products, specifically concerning barrier failure and skin trauma. They are looking for suggestions on better product choices and skin-care practices. Here are some insights and advice shared by others:

- The person tried Coloplast two-piece samples but had issues with the adhesive and experienced skin trauma. They prefer a clip closure over the fold-and-Velcro pouch closure.

- They used 3M Cavilon for skin prep, but it didn't work well for them. The rigid plastic base of the barrier didn't adhere, while the inner ring adhered too strongly, causing injury during removal.

- They switched back to their usual Hollister products under time pressure due to continuous bile output. They believe a convex SenSura Mio might have been more suitable for their slightly bulged peristomal area.

- They were unimpressed with Cavilon on damaged skin but used it again before reapplying Hollister products. They plan to discuss product choices with a Coloplast representative and are seeking community suggestions.

Here are some tips and advice from others:

1. Skin Prep and Cleansing:
- Some users found 3M Cavilon ineffective. Consider trying Coloplast Skin Prep wipes or skipping prep altogether.
- Clean the peristomal area with antibacterial Yellow Dial soap or Yardley Oatmeal soap, and rinse thoroughly to avoid residue.

2. Protective Layers and Healing Aids:
- Use a hydrocolloid dressing like Duoderm Extra Thin on irritated skin. Cut it to shape and apply the wafer or paste over it to act as a "second skin" and promote healing.
- Apply calamine lotion to broken skin, let it dry, then place the wafer.
- For severely damaged skin, place plain Saran Wrap over the area, mount the ring or wafer on top, and secure with an ostomy belt. This can help remove the barrier without further injury.
- If the skin is extremely raw or bleeding, consider temporary catheterization of the stoma and hospital care to allow the skin to heal.

3. Product and Brand Experiences:
- Some users report good adhesion with Coloplast SenSura Mio Deep Convex barriers, suggesting the sample might have been a dud or the wrong style for a bulged abdomen.
- Others experienced leaks with Mio after two days and prefer Convatec two-piece systems with Eakin Cohesive Seals.
- Hollister flexible tape-border wafers are praised for conforming to uneven skin.
- Brava Adhesive Remover by Coloplast is noted as an effective, sting-free option.

4. Accessory Tips:
- Use an ostomy belt attached to the barrier’s belt tabs, especially with convex wafers, to minimize edge lift and leaks.
- Success often comes from trying different combinations of products, so a systematic trial of various options is essential.
See full discusison
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