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Mar 14, 2024

Disappointed with Hollister #8590 Upgrade - Need Recommendations for Quality Alternatives

This topic is about someone who has been using a specific ostomy product, the Hollister #8590, for many years. Recently, the product was updated, and the user is experiencing several issues with the new version. They are looking for advice on more reliable alternatives. Here are some helpful suggestions and insights shared by others:

1. Consider staying with Hollister but switching to a two-piece system:
- Try the Hollister #18183 drainable pouch with the Hollister #13505 convex base plate.
- Use a "Salts Seal" with a collar to help direct output away from the stoma and into the pouch. Many users have found this setup to be effective in preventing leaks.

2. Ensure proper alignment and pinching of the closure nubs on the current Hollister bags, as misalignment can cause sealing issues.

3. If you notice an odor shortly after changing, it might indicate a partial leak:
- Apply several layers of skin barrier film, allowing each to dry before placing the barrier ring. Press and warm the ring for a few minutes to ensure it sticks well.
- Make sure the pouch and barrier are fully snapped together in a two-piece system, as an incomplete connection can allow odors to escape.

4. Opinions on skin barrier film vary:
- Some users find it helpful for protecting irritated skin and improving ring adhesion.
- Others believe it should only be used for compromised skin and doesn't enhance stickiness unless there's irritation.
- It's best to consult an ostomy nurse or the product manufacturer for advice tailored to your skin condition.

5. If Hollister products no longer meet your needs, try different brands and models until you find one that works for you. One user suggests the Hollister 89511 one-piece pouch as a reliable alternative.

6. General tips to keep in mind:
- You have the freedom to choose which products you use, so feel free to change brands or styles as needed.
- Reach out to manufacturers, ostomy nurses, and local support groups for samples, technical information, and personalized advice.
- When using stoma powder, make sure to blow off any excess before applying the barrier ring, as too much powder can prevent proper adhesion.
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