This topic is about dealing with leaks and detachment issues when using an irrigation sleeve for a herniated stoma. The person experiencing this problem finds that their current irrigation sleeve doesn't stay attached throughout the process, especially since they need more water and time due to the hernia. They are looking for alternative products or techniques that can help.

Here are some helpful suggestions and insights:

1. Request replacements or stronger adhesive sleeves:
- Contact the manufacturer, like Dansac, to report the issue. They might provide sleeves with a firmer adhesive that can prevent detachment during irrigation.

2. Add a custom or reinforced baseplate:
- Create a rigid baseplate secured by two adjustable elastic belts. A light mist of medical adhesive spray can help keep it in place.
- Since the sleeve attaches to the baseplate instead of the skin, you can reuse a single sleeve for months.
- Use a short plastic bend-pipe at the stoma opening to direct effluent straight down the sleeve, reducing splashes.

3. Use belt-only sleeves that go directly on the skin:
- These adhesive-free sleeves are held by an irrigation belt and can be tightened as needed, but you will need to remove the wafer each time.

4. Switch to a two-piece appliance with a sleeve that snaps onto the flange:
- Brands like Convatec, Hollister, and Coloplast offer two-piece systems where the sleeve locks onto the flange and unsnaps when done, preventing belt slippage.
- Ensure all components (flange, pouch, sleeve) are from the same brand for compatibility.
- Some users report getting up to six days of wear from a Convatec flange and drainable pouch.
- Coloplast’s irrigation bag includes a built-in temperature gauge, while Convatec’s uses a wheel clamp.
- Adding Coloplast Brava Y-shaped barrier strips around the flange can provide a leak-free seal.

5. Practical positioning and cleanup tips:
- Stand at the sink with the irrigation bag hung over a door and place the wheel/clamp in the sink.
- When on a cruise or seated, sit on the toilet with the sleeve hanging into the bowl to prevent splatter.
- Keep an old towel under your feet, a cloth nearby, and rinse the sleeve frequently in warm, soapy water.
- Support the sleeve with one hand to reduce weight that might pull it off, and use a mirror if the stoma is hard to see.
- Clip the sleeve’s tail with clothespins, then release over the toilet; use remaining irrigation water to rinse the sleeve.
- A folded tissue soaked in Listerine inside the detached pouch can help eliminate odor during irrigation.

6. Reduce dependence on long sleeves:
- Use about 1500 cc of water, kneel in front of the toilet, and let returns fall directly into the bowl, taking about 30 minutes.
- Expect minor residual output later but avoid the hassle of using long sleeves.

7. What to avoid:
- Avoid placing barrier rings under the flange, as they can allow water to seep beneath and create a bigger mess during irrigation.