This topic is about finding ways to manage a two-piece ostomy system using only one hand, especially when one hand is immobilized due to surgery. Here are some practical tips and insights to help navigate this situation:

1. Consider switching to closed pouches during your recovery. You can visit your doctor or stoma nurse for a full appliance change when needed.

2. Practice using one hand to manage your ostomy system before your surgery. This will help you become more comfortable with the movements.

3. Think about transitioning from a two-piece system to:
- A drainable one-piece with a Velcro closure, which can be easier to empty and reseal with one hand.
- A one-piece pouch with side tabs and an ostomy belt for added security.

4. For removing a two-piece system with one hand, try this technique: place two fingers under the flange at the bottom, use your thumb on top, fold the flange in half, and roll it upward off the stoma.

5. When emptying any pouch, stand at the sink, let the bag hang inside, empty it into a container, and use the sink edge or your abdomen for support.

6. Use adhesive spray remover instead of wipes, as sprays are easier to direct with one hand.

7. Consider adhesive-coupled systems that require only gentle pressure to attach or detach, such as:
- Coloplast SenSura Flex barrier (including XPro extended wear)
- ConvaTec Esteem Synergy two-piece

8. Some people find that removing and discarding a closed pouch is simpler than cleaning a drainable outlet with one hand. However, others prefer sticking with a familiar drainable bag to avoid frequent full changes. It's best to try both and see what works for you.

9. If you find your dexterity is limited, reach out to a WOC (Wound, Ostomy, Continence) nurse for hands-on tips and possibly some product samples.

10. Remember, many people have successfully managed their ostomy systems with one hand after experiencing conditions like stroke, polio, or broken wrists. With practice, your confidence will grow quickly.