Yes, when fitting a flange or wafer you should cut the hole so it is close as poss., to the stoma outside edge but to take care you don't cut it too tight as it will be sitting on the stoma, perhaps. That's not a good thing for the stoma. Yes some of us use a filling in paste(I do) while others use washers. It just depends on what works for each person.
Hope this helps.
Good luck to all and let's always share.
Then you might try the securicaremedical.co.uk site, the clolplast.uk, the colostomyassociation.org.uk, ostomyland.uk, hollister.uk and stomawise.co.uk site.
What I remember from my last geography class is the UK is a pretty big island. Just kidding, but my point is, there must be many services similar to ours. Hope this helps.
Good luck and thanks for joining us.
Also, during installation, I use a hair dryer on low heat setting to soften up the adhesive on the wafer as well as the Adapt ring. A few hours after installation I check for the "mushroom" effect of the ring which tells me I'm in good shape.
I use Cymed Micro Skin one piece pouches and change every 6 days with no problems. The Cymed pouches are awesome in my opinion. They allow me to shower in between changes and also have a secondary seal should a leak occur. This can give you a few hours to get to a place to change if you have to.
All the best, Cecille
I use a convex precut with a bit of paste around the lower half. I do usually use the skin barrier prep to help protect the skin. My skin is uneven around the stoma, hence the convex, but that has been changing so my bags tend to only last 3-4 days. Also, the paste tends to have solidified more and come off easier if the bag has been on for at least 2 days.
Does anyone here have the stoma in the middle between where the belly button used to be and pubes? It tends to present some different issues.