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Apr 20, 2012

Need help with leakage issues from Iliostomy indentation

This topic is about managing leakage from an ileostomy, especially when there's a deep indentation on one side of the stoma. The person experiencing this issue has tried using Stomahesive paste but still faces occasional leaks. They are seeking advice on products or techniques to achieve a better seal.

Here are some suggestions and insights that might help:

1. **Consult a Specialist**: Since the person is a veteran, they believe the VA might have a nurse specializing in ostomy care. Reaching out to this nurse could provide personalized assistance.

2. **Surgical Option**: For those with a deep indentation, one suggestion is to consider corrective surgery. Consulting with a surgeon could provide more information on this option.

3. **Product-Based Solutions**:
- **Eakin Cohesive Seals**: These can be placed around the stoma to fill the indentation and improve the seal. Free samples are available by contacting the company.
- **Convex Faceplate and Ostomy Belt**: Using a convex faceplate with an ostomy belt can help press the appliance into the indentation, potentially allowing for 5-7 days of wear without leaks.

4. **Professional Support**: Visiting an ET/ostomy nurse or a wound-ostomy team can be beneficial for individualized fitting and trying out different products.

5. **Upcoming/Alternative Products from Coloplast**:
- **SenSura Mio Pouching System**: This system features an elastic adhesive designed to stretch and mold to body contours, which may help reduce leaks.
- **Coloplast Curved Elastic Tape**: This accessory follows the shape of the faceplate and adapts to uneven skin. Although these products are not yet available in the USA, they are expected by the end of summer, and samples might be obtained from overseas contacts.
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