This topic is about someone who decided to switch from using Coloplast ostomy products to Hollister's CeraPlus system after experiencing some issues. They had been using Coloplast's two-piece systems like SenSura and Assura for six years but faced problems with pouch detachments and adhesive issues. Here's a summary of their experience and some helpful tips they shared:

- The user had issues with Coloplast's SenSura and Assura systems, where the lock ring would sometimes release even when it was supposed to be locked. The belt tabs were on the wafer, which didn't help prevent the pouch from popping off. The adhesive on the Mio line didn't stick well enough to their skin.

- After trying different options, they switched to Hollister's CeraPlus convex two-piece system. They liked the firm "click" sound when attaching the pouch, the belt tabs on the pouch for added security, and the fact that their skin tolerated the CeraPlus adhesive well. They felt more confident and experienced longer wear times, even though they preferred the Coloplast drain closure design.

- They found that the Mio's adherence improved when they skipped skin prep and applied the wafer before showering, but the lock ring incompatibility with SenSura/Assura pouches was a deal-breaker. With Hollister, the only issue was filter leakage, which they solved by switching to non-filter CeraPlus pouches.

- Using a convex CeraPlus wafer eliminated the need for a barrier ring.

Here are some general tips and insights they shared:

1. For better securing and wear-time:
- Clean all residue thoroughly, using soap and water between each step, and apply a very thin line of paste.
- Dry the skin completely, possibly using a hair-dryer on cool, and use skin-prep/barrier film and remover wipes to achieve 4-5 day wear.
- Barrier strips or flange extenders can help reduce edge lift and pouch detachment.
- Framing the wafer with cut strips of DuoDerm can prevent leaks and extend wear time.
- Aqua Seal can provide a waterproof seal and extend wear time to 7 days.
- An ostomy belt adds security when belt tabs are on the pouch.

2. Product comparisons and alternatives:
- Hollister New Image line offers a strong snap and tabs on the pouch.
- Hollister 8515 Premier one-piece drainable works well with Hollister Adapt rings and no-sting barrier spray.
- Convatec's moldable technology wafers and Natura cut-to-fit wafers offer flexibility and protection.
- Coloplast product 10011 wafer may be too stiff in hot, humid climates.
- Coloplast stoma caps are appealing for those who irrigate, but Hollister doesn't offer a cap.

3. For filter management:
- If filtered pouches leak or cause pancaking, cover the filter with tape or switch to non-filter pouches.

4. For cutting wafers consistently:
- Use pre-cut wafers for symmetrical stomas.
- For irregular shapes, trace a plastic backing sheet to make a template and cut on the outside of the traced line.

5. For skin and irritation care:
- Use stoma powder and no-sting barrier spray to protect irritated skin.
- Silver-nitrate sticks can help heal open sores or skin tears.
- Those with adhesive allergies might avoid tape borders and use products like DuoDerm for reinforcement.

These insights and tips can be helpful for anyone considering a change in their ostomy care products or looking for ways to improve their current setup.