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Feb 21, 2024

One-piece or Two-piece Bags - Which Do You Prefer?

Topic Explanation
The forum discussion revolves around the preferences and experiences of users with one-piece versus two-piece ostomy bags. The original poster prefers one-piece bags due to their ease of use and less bulk under clothing. The discussion seeks to gather opinions and insights from others on which type they prefer and why.

Advice and Insights

1. Two-Piece Bag Advantages:
- Flexibility and Rotation: Allows for rotation from vertical to horizontal, which is not possible with one-piece bags.
- Durability: Some users find two-piece bags last longer, especially with ileostomies.
- Ease of Changing: Easier to change the bag without changing the barrier, which is beneficial for those with constant output.
- Burping and Pancaking: Easier to burp and manage pancaking due to the additional thickness and distance from the stoma.
- Support with Belt: Can be used with a belt for additional support.
- Application Ease: Easier to see and apply the wafer around the stoma.
- Less Skin Irritation: Kinder on sensitive skin as the base plate does not need to be removed as often.
- Mechanical Coupling: Adhesive coupling reduces bulk, and accordion flanges prevent pressing on the stomach.

2. One-Piece Bag Advantages:
- Less Bulk: Less bulky under clothing and hardly detectable with the right shirt.
- Simplicity: Easier to use and manage for some users.
- Cost: Generally cheaper and used as an emergency backup.

3. Personal Experiences and Preferences:
- Activity Level and Lifestyle: Choice depends on individual activity levels, type of ostomy, and personal routines.
- Leak Issues: Some users experience leaks with two-piece systems, especially if not properly secured.
- Output Consistency: Users with liquid or loose output may prefer one-piece to avoid leaks around the seal.
- Mixing Brands: Mixing brands of bags and barrier rings can sometimes lead to leaks.

4. Specific Product Preferences:
- Hollister Two-Piece Convex Drainable: Preferred by some for its advantages like burping and support with a belt.
- Closed Pouches: Preferred by some for flexibility and reduced bulk.
- Hollister and Senura Mio Flip: Mentioned as reliable two-piece systems with no leaks when properly installed
See full discusison
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