Hi,

I had basically the same problem as your mother - incision close to stoma
and constant leakage under the wafer. I tried many different pouches and
systems (two piece, one piece etc.) but finally found these pouches that
solved the problem (Hollister #3279). That number is for my size stoma - but
they have different sizes in that same system. I use a little of the paste
at the base when I apply. They work really well, but have to be changed more
often (I change mine every other day instead of every day as they recommend
- they last that long for me.) I have a permanent colostomy. It's been about
four years now and that pouch is the only one that worked. Hope this helps
some.


Jim

-----Original Message-----
From: colostomy@yahoogroups.com [mailto:colostomy@yahoogroups.com] On Behalf
Of phine28
Sent: Saturday, April 29, 2006 11:32 AM
To: colostomy@yahoogroups.com
Subject: [colostomy] Help - Incision close to stoma


Hello,
My mother had her colostomy just 3.5 weeks ago (carcinoid cancer/small
intestine blockage). She's recovering from the surgery okay, but since her
arrival in a skilled nursing facility (SNF) 2 weeks ago, she has been
experiencing constant leakage from the skin barrier/wafer into the incision.
This is mainly due to the stoma being very close to the incision which makes
the application of the pouch tricky.

This has been extremely frustrating for her, our family, and the SNF nurses
especially because possibility of infection. Unfortunately the ostomy nurse
from the hospital (and other local ostomy nurses) are either out of town..or
unwilling/unable to see her in the SNF.

Does anyone have any tips/tricks on applying the pouch, avoiding the
incision and preventing leakage???

FYI.In the hospital there was no leakage. She's been using Hollister
(8631) one piece drainable cut-to-fit, and sometimes paste. Sometimes the
`wafer' is applied under the surgery dressing tape, and sometimes over the
dressing. Her pouches have been replaced at least once a day.

Any help would be greatly appreciated!

phine28@...
Sunnyvale, CA








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