This topic is about troubleshooting issues with adhesive leaks and residue when using the Hollister colostomy system. A new user is experiencing persistent seepage and difficulty removing adhesive residue. They are seeking advice on better-sealing rings and easier ways to clean off residue. Here are some helpful suggestions and insights:

1. Try different brands of rings and request free samples:
- Coloplast Brava rings and Sensura Mio products.
- ConvaTec rings and Eakin Seal or StomaWrap.
- Salts Alo/Salt rings for longer wear and easier removal.
- Safe n Simple rings, Welland seals, Perfect Choice rings, and Skin Tac wipes.
- Other options include StomaWrap, Sure Seal, 3M Cavilon wand, and Banana/curved elastic tapes.

2. If leakage continues with flat wafers, consider switching to convexity:
- Use light or soft convex wafers with belt tabs to maintain pressure around a flush or "innie" stoma.
- Pull the surrounding skin up or down to flatten creases when applying the wafer.

3. Improve adhesion with these application techniques:
- Clean the area with non-oily soap or plain warm water and dry thoroughly.
- Warm the ring or wafer in your hands or with low heat before and after applying.
- Ensure the hole fits snugly around the stoma with no exposed skin.
- Walk fingers around the stoma after applying the pouch.
- Use rings or paste only where needed, such as halving a ring for a low side of a parastomal hernia.

4. Consider barrier ring/paste alternatives and skin protectants:
- Eakin Slim rings and Cohesive paste.
- Use a 4 × 4 skin-barrier sheet cut into a custom “donut” under the flange.
- For weepy skin, try stoma powder with a barrier wipe, Calazime Skin Protectant, or Calmoseptine.

5. Explore adhesive-removal options beyond standard wipes:
- Hollister Adhesive Remover Wipes, Sensi-Care spray and wipes, or NuHope Adhesive Cleaner.
- Detachol and other remover sprays; use the technique of “push down with remover, pull wafer up.”
- Accept small residue and apply a new ring/flange over it rather than over-scrubbing.

6. Additional tips and troubleshooting:
- Avoid moisturizers in shampoo, lotion, or soap as they can undermine the seal.
- Empty or “burp” the pouch before output pools against the seal.
- Change more frequently if output is undermining the adhesive.
- Consider surgical revision if the stoma is very flush or oval.
- For rash management, use Skin Tac, Calazime with powder, and barrier spray.
- Use a hair-dryer on warm to speed drying and help adhesion.
- Never hesitate to contact your WOC/ostomy nurse for help with leaks and skin issues.