This topic is about finding ways to extend the wear time of two-piece ileostomy appliances and ensuring a reliable seal. If you're navigating similar challenges, here are some helpful tips and insights shared by others:

1. Convatec Sur-Fit System:
- Many users have reported being able to wear this system for 5 to 7 days.
- A useful technique involves cutting Stomahesive Strips into four small pieces and placing them around the stoma like a picture frame. Then, apply the wafer over these strips and wrap another strip around the stoma base. This method helps create a flexible, leak-free seal and protects the skin.
- To improve adherence, warm the wafer and strips with a hair dryer on high for 15-20 seconds before applying.

2. Alternative Sealing Methods:
- Adapt Paste from Hollister can be used by applying a thin bead around the wafer hole to form a gasket. Smooth it with a wet finger, apply the wafer, and warm it briefly with your hand or a hair dryer to fill any gaps.
- Using thin waterproof tape over the wafer edge can help keep water out and extend wear time up to 10 days.

3. Hollister Products:
- Pre-cut Hollister flanges and bags can last up to a week if the area is thoroughly cleaned and dried. Getting help with centering the flange might improve consistency.
- Warming Hollister Stomahesive wafers with a hair dryer can enhance their stickiness.

4. Additional Accessories and Regional Options:
- Stoma collars from Ainscorp Salts in Australia come in various sizes and offer extra security.
- The Cymed MicroSkin Platinum one-piece drainable pouch, which is pre-cut, reportedly stays on for a week without needing extra products. You can request samples by calling 1-800-582-0707.

5. Troubleshooting Common Issues:
- If the bottom edge of the flange rolls after sweating or showering, using Stomahesive strips under the wafer can help minimize lifting. Make sure to dry thoroughly afterward, as air-drying is still necessary.
- A white ring around the stoma opening is common and indicates contact with output. Using paste or the picture-frame method can help protect the skin.
- While a wear time of 7 to 10 days is possible, many users prefer changing every 5 to 7 days to avoid skin irritation. Exceeding 10 days might increase the risk of moisture-related skin problems.