This topic is all about finding creative ways to use barrier rings with Hollister wafers to ensure a good seal around an ileostomy. The main concern is preventing leaks by properly using or stretching the rings. Here are some helpful tips and insights shared by others:

1. If you have a gap around your stoma, you might try stretching an Adapt ring from ¾" to about 1" and centering a 1 1/8" wafer over it to seal the gap.

2. To avoid the ring sticking to your fingers, you can stretch it while the adhesive side is still covered. Just remove the paper from the adhesive side only, keeping the clear top film on.

3. Warming the Adapt ring with a hair dryer on low for about 30 seconds can make it more flexible and easier to mold. This technique has helped some achieve up to six days of wear without leaks.

4. For general placement, clean and prepare your skin first. Slightly stretch the ring and place it directly on the skin around your stoma, then apply the wafer over it to improve the seal and wear time.

5. If you use a one-piece pouch, you can create a gentle convex pressure by sticking a Hollister Adapt barrier ring to the back of the pouch after cutting the opening. You might also add a rim of Stomahesive paste for extra security.

6. If you prefer not to stretch the rings, consider using Eakin Cohesive Seals, which can be cut to size. Hollister Medical Adhesive Spray can also be used for extra hold.

7. For a custom fit, you can tear off narrow pieces of the putty-style Adapt seal and place them strategically around the stoma. This method has been reported to provide 5- to 7-day wear times.

8. Remember, a bit of trial and error is normal. Different skin types and stoma shapes might require adjustments in ring size, stretching, or the use of additional accessories.