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A new flangeless adhesive coupling system for colostomy and ileostomy.

A large clinical study evaluated the performance and patient acceptance of a flangeless stoma system - the Esteem synergy system (ConvaTec). Key parameters for previous one-piece users were product versatility assessed by ease of application/removal, security, convenience of use and overall subject preference. Key parameters for previous two-piece users were product flexibility assessed by profile, comfort, rigidity, security, and overall subject preference. Wear time and safety were also assessed. In 44.5% of one-piece users the test product was rated at least as good as their usual product. In two-piece users the test product was statistically significantly better than their usual product in terms of flexibility and was rated at least as good as their usual system by 56.3% of subjects. The overall mean wear time was approximately 2 days. The test system was well tolerated. In summary, Esteem synergy successfully combined the attributes of both one- and two-piece stoma systems.

Colonic Pouches↗

Colostomy irrigation: are we offering it enough?

This article discusses the use of irrigation for suitable colostomists and reasons why it can have a very positive effect on lifestyle. While it is evidence-based it also includes anecdotal tips from patients who irrigate. The suitability of patients to irrigate and ways to 'get started' with irrigation are discussed.

Colostomy↗

[The results of self-irrigation in colostomy patients who have undergone a process of systematic training].

The present study comprises the results of the use of self-irrigation by 40 colostomized patients, trained by us through a process of systematized training. The effectiveness of the training process can be checked out considering that the most part of the patients have adopted it in its basic features, pointing out a few number of technical difficulties. As to the results of self-irrigation, as a method for controlling the intestinal habit, we can say that 37.50% of the population showed an absence of fecal leakages and 42.50%, sporadic leakages between the irrigations; 27.50% and 35.00%, with absence of gases in the intervals of time and partial use of the collecting pouch, respectively.

Adult↗