This discussion is about comparing Eakin's "stoma wrap," which is an open-ended hydrocolloid strip, to traditional barrier rings. The person who started the conversation is exploring this option because they find that stretching a conventional ring too much makes it too thin. They have requested samples and are seeking feedback on how easy the stoma wrap is to use, how well it seals, and its overall durability.
Here are some insights and advice shared by others:
1. The stoma wrap is 85 mm in length, not diameter. Since it is already split, it might easily fit around a stoma with minimal stretching. Any extra length can be overlapped and smoothed out.
2. Many people are not familiar with the stoma wrap and are interested in hearing reviews, indicating it might not be widely used yet.
3. An alternative method involves using larger Salts rings. You can fold a section over, flatten it, and cut off the excess. This method reportedly provides about 10 days of wear time.
4. For those using Eakin Slim Seals, which are closed rings from the same manufacturer:
- Warm the seal in your hands to make it more pliable.
- Some prefer to mold it to the wafer opening first, then apply the wafer to the skin.
- Others mold it directly on the skin. Both methods can extend wear time and help with uneven areas.
- After applying, use a hair-dryer to heat the setup, which can improve adhesion and prevent leaks.
5. When adjusting the fit of any open-ended strip or ring, including the stoma wrap, overlap the ends to the desired diameter and smooth out the joint.
6. One person had a negative experience with Eakin seals, finding them gummy and prone to breaking down quickly. They switched to Coloplast Protective Seal, which is not moldable and comes in two thicknesses and various pre-cut sizes. Their technique involves breaking the ring into a "C" shape, wrapping it, overlapping, pressing the edges together, and then applying a Hollister wafer. This method provides over six days without leaks. Free samples are available from Coloplast.
7. Barrier rings in general are described as soft, sticky gaskets that fill gaps, adapt to changes in stoma size, prevent micro-leaks, and cushion the wafer's hard edge. They are particularly useful for short or retracting stomas, liquid output, uneven or scarred skin, tight clothing, or active lifestyles. If your current system, like a Hollister wafer alone, works well, a ring might not be necessary.
8. Other products mentioned include Convatec's "moldable" Convex wafer and Stomahesive paste for filling depressions. One person uses cut pieces of Eakin Slim or a full slim ring to even out areas beneath the stoma instead of opting for further surgery.
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