BREAST CANCER AWARENESS MONTH | SAVE 10% ON MOST ORDERS THIS MONTH | Use Code: BCA10 | Exclusions Apply - Expires 10.31.20
Swipe to the right

Securi-T Ostomy Care Products

By May 26, 2020 193 Views

 

Date: May 26, 2020
By Burt Cancaster

 

 

An Ostomy Family

 

 

What is an Ostomy?

An ostomy is an involuntary opening in the body surgically placed to evacuate urine or feces from the digestive system. This opening allows waste from the inside of an organ to pass to the outside of the body. An ostomy surgically forms when an ending of the bowel reroutes to the surface of the abdomen; thereby, bypassing the remainder of the bowel. At the skin surface, the edges of the intestine turn back to the skin to form a stoma. Stomas may be temporary, but in most cases, are permanent. This procedure bypasses a damaged or diseased bowel.

 

Human Digestive System

 

Intestinal stomata can be created using either the small or the large bowel. More than 75% of all stomata are placed as part of the treatment of colorectal cancer. The incidence of stoma-related complications is reported to be 10–70%. Skin irritation, erosion, and ulceration are the most common early complications, with a combined incidence of 25–34%, while stoma prolapse is the most common late complication, with an incidence of 8–75%. Most early complications can be managed conservatively, while most late complications require surgical revision. In 19% of cases, an ostomy that was initially planned to be temporary becomes permanent. Inappropriate stoma location and inadequate ostomy care are the most common causes of early complications. Both surgical and patient-related factors influence late complications.1

Reducing the risk of complications and skin irritation is critical for patient compliance and adaptation. The wrong size appliance, difficulty removing adhesive, leaks, odor, and a host of other issues can combine to make life with a stoma more difficult. Correct sizing and proper stoma care can make all the difference. Appliances include ostomy bags or ostomy pouches that attach to the stoma to collect waste. These bags may have accompanying connections or accessories such as wafers, seals, sealing pastes, barrier strips, no-sting wipes, adhesive remover wipes, drainage, and straps to keep the pouch in place. These appliances and accessories are necessary to make adaptation to a stoma "liveable" for the patient.

 

Types of Ostomies or Stomas

Types of Ostomies

 

There are three principal types of ostomies—colostomy, ileostomy, and urostomy. A colostomy bypasses a portion of the large intestines, an ileostomy detours the large intestines completely, and a urostomy avoids the bladder. The stoma is an artificial opening on the abdomen to allow urine or feces to bypass the bladder or the remainder of the intestines. An ostomy bag or ostomy pouch connects with the stoma to collect waste products.

 

Colostomy

A colostomy diverts waste to pass out of the body from the colon through an opening in the abdomen. A piece of the large intestine journeys out of the abdominal wall to provide an opening to eject fecal matter. The fecal contents collect in an ostomy bag for later disposal. This procedure results from cancer, diverticulitis, Hirschsprung’s disease, imperforated anus, trauma, and other causes.

 

Ostomy Locations

 

There are four common colostomy sites along the colon named after their location—ascending (right side), transverse (upper crossing), descending (left side), and sigmoid (lower left side). The sigmoid colostomy is the most common and is a few inches lower than a descending stoma. The sigmoid is also the farthest point down the digestive tract for an ostomy location.2

 

 

What is a Colostomy? (2:02 minutes)


 

 

Ileostomy

An ileostomy is similar to a colostomy but instead transfers waste from the ileum of the small intestines rather than from the large intestines. The transfer takes place from the abdomen through a stoma to an ostomy pouch. Ileostomy procedures bypass an area of the digestive system compromised by bowel cancer, Crohn’s disease, ulcerative colitis, or rectum surgery. There are two key types of ileostomies—end and loop. "In an end ostomy the supplying end of the divided intestine is brought out to the body surface, while in a loop ostomy the anterior wall of the intestine is opened to create the outlet."3

What is an Ileostomy? (4:14 minutes)


Urostomy

A urostomy drains urine and bypasses a diseased or damaged bladder. This type of ostomy is nearly always permanent and is the least common of the three primary ostomies. A drainable urostomy bag attaches to the stoma to collect urine for later emptying. Most patients empty their urostomy pouch four to six times daily. "A urostomy is usually situated in the right iliac fossa and is similar in appearance as an ileostomy. The urostomy is warm, red, and moist with a 2.5 cm spout and is about 30 mm in diameter."3 "A urostomy or ileal conduit is created using a short segment of the ileum to aid in eliminating urine. The ureters are connected to the conduit for urine to flow out of the body via the stoma into an ostomy pouch."4

 

What is a Urostomy? (2:15 minutes)


 

 

Indications for Colostomy
  • Colon-Rectal Cancer
  • Cystic Fibrosis
  • Diverticular Disease
  • Ehlers Danlos
  • Gastrointestinal Trauma
  • Inflammatory Bowel Disease
  • Intestinal Obstruction
  • Interstitial Cystitis
  • Intussusception
  • Irradiation Damage
  • Ischaemic Bowel
  • Meconium Ileus
  • Magarectum
  • Necrotising Enterocolitis
  • Necrotising Faciitis
  • Neurogenic Bladder
  • Obstruction
  • Perforated Bowel
  • Refractory Radiation Cystitis
  • Solitary Rectal Ulcer
  • Spina Bifida
  • Spinal Cord Injury
  • Trauma
  • Vesceral Myopathy
  • Vovulus5
Indications for Ileostomy
  • Bowel Obstruction
  • Colorectal Cancer
  • Crohn’s Disease
  • Distal Anastomosis
  • Distal Ileal
  • Perianal Fistulas
  • Proximal Colonic
  • Ulcerative Colitis
  • Familial Adenomatous Polyposis6
Indications for Urostomy
  • Bladder Cancer
  • Chronic Pelvic Pain Syndromes
  • Congenital Malformations or Abnormalities
  • Gynecological Cancers
  • Gynaecological Tumor
  • Interstitial Cystitis
  • Intractable Incontinence
  • Neurogenic Bladder
  • Refractory Radiation Cystitis
  • Vesical Exstrophy
  • Vesicovaginal Fistulas7

 

 

Life Adjustments to a Stoma

Adjusting to life with an ostomy is challenging for most patients. Medical studies find that stoma acceptance, interpersonal relationships, and the stoma location are primary concerns. Gender is not a factor in adjusting to living with a stoma; both parties find it a struggle.8

 

Stoma Supplies

 

One study found that many of the complications associated with an ostomy related to the patient’s own stoma care. "A baseplate opening that is too large is a predisposing factor for cutaneous irritation or even ulceration. The danger of cutaneous complications is greatest for ileostomy. While irritation can be managed out of [the] hospital by means of baseplate correction and intensive skin care, ulceration requires expert consultation. A baseplate opening that is too small leads to mucosal erosion and possibly hemorrhage."9

"Self-efficacy, one's expectations regarding the ability to perform some specific task" was the focus of another study that found five important life domains significantly impact a patient’s adaptation to a stoma: "vocational environment, domestic environment, sexual relationship, social environment, and psychological distress…. By strengthening patients' self-efficacy, this adaptation process may be accelerated, and the psychological and social burden can be lightened."10

 

 

Ostomy Appliances and Accessories

Selecting the right appliances and accessories is important to get the right fit and protect the skin surrounding the stoma. Each person has unique characteristics that require different adaptations to meet their personal needs. Accessories clean and protect your skin. They prevent leaks and odor. These ostomy supplies help you to maintain an active lifestyle and achieve normal functioning.

Ostomy Pouch Options

There are many ostomy appliances and accessories to select from to help ostomy patients adapt to their new lives with a stoma. Ostomy bags are available in several different options. They can be closed-end (not drainable and disposable) or open-end (drainable and reusable). They can be transparent to allow caregivers to assist the patient with changing or draining the pouch, or they can be opaque to be more discreet for active users. These bags can be a one-piece design to unobtrusively hide under clothing or two-piece to accommodate less trauma to the skin surrounding the stoma during bag changes. These pouches can also be pre-cut to the stoma size or cut-to-fit for a more custom fitting. You can select between filtered to reduce odors and support swimming, or a less expensive option of no filter for use at home. You may also choose between multi-chambered ostomy bags to be less noisy and support sports and athletic activities or a less expensive option that does not have this feature.

Colostomy bags often employ a closed-end bag that allows the user to simply discard the pouch and its fecal contents and not have to mess with draining. The disposable close-ended bags help prevent odor from escaping. Most ileostomy pouches and urostomy pouches use a drainable bag design, which allows the user to empty the contents of the pouch when full.

 

 

1-Piece Bags

1-Piece Pouch Systems

One-piece pouch systems provide for more discreet wear. With this type of ostomy appliance, you only have one-piece to apply. It offers easy application, particularly for those with dexterity or some other impairment for self-application. They offer more flexibility since there is not a separate flange attachment. This type has a lower profile and hides well under clothing. Active users benefit the most from a one-piece system, allowing more freedom of movement and less cumbersome deployment. To the left is an image of various Securi-T Ostomy 1-piece appliances. Below is a list of typical 1-piece ostomy bags along with links to product pages.

 

2-Piece Bags

2-Piece Pouch Systems

Two-piece pouch systems use an ostomy wafer or flange device that stays attached to the stoma. 2-piece bags allow multiple changes of the pouch without disturbing the stoma and surrounding skin. It is easy to switch from a closed pouch for activities to a drainable pouch for more convenience at the office or around home. Less frequent changes of the flange reduce the risk of skin problems and the need for ointments and creams to combat dermal irritations. It also means that the user will require less ostomy paste to help seal the pouch to the stoma since there will be fewer changes. To the left is an image of Genairex Ostomy 2-piece appliances with a matching wafer. Below is a list of typical 2-piece ostomy bags along with links to product pages.

 

Wafers

Wafers

Wafers or flanges are the second piece of a 2-piece ostomy pouch. Wafers come in extended wear, standard wear, cut-to-fit, pre-cut, hydrocolloid, convex, and assorted size options. Extended Wear Wafers have a barrier material that allows for longer use periods. A convex wafer has a built-in outward curve which helps to obtain a better seal around the stoma for some. Use a convex wafer for stomas that are flush with the skin or inset. The flange size should match exactly with the pouch size for a proper fit.

 


 

Skin Protection Accessories

 

Adhesive Remover Wipe 203050

Adhesive Remover Wipe

Ostomy bags and wafers attach to the skin around the stoma. Adhesives provide a secure way to achieve this attachment. Removing the adhesive residue from your skin without damaging your skin can be challenging. Adhesive Remover wipes are skin-friendly and have added ingredients that soothe your skin. Other additives like aloe and vitamin E also promote good skin health. The formulas include anti-irriating ingredients. They help maintain a functioning skin barrier and provide moisturization.

  • Product Number: 203050
  • Dimension: 1-1/4 x 3 Inch
  • Volume: 50 Wipes Per Box
  • Packaging: Individual Packets
  • Application: Adhesive Remover
  • Liquid Dries to a Slightly Wet Tack
  • HCPCS Code: A4456

 

No Sting Barrier Wipe 202400

No Sting Barrier Wipe

Barrier wipes are fast-drying to help prevent skin maceration. The wipes are formulated with non-irritating ingredients that protect your skin from body fluids. They provide less adhesive trauma and help tape and film adhesives stick. These barrier wipes provide a threshold between your skin and adhesives.

  • Product Number: 202400
  • Dimension: 1-1/4 x 3 Inch
  • Volume: 50 Wipes Per Box
  • Packaging: Individual Packets
  • Application: Adhesive Preparation and Barrier Protective Dressing
  • No Sting Formula
  • Liquid Dries to a Sticky Tack
  • HCPCS Code: A5120

 

No Sting Spray Barrier Protective Dressing 202402

No Sting Spray Barrier Protective Dressing

Barrier protective spray offers easy application to reduce adhesive trauma. Just spray onto cleansed skin. The spray protects your skin from bodily fluids and are non-irritating. The formula is fast-drying and offers protection from skin maceration.

  • Product Number: 202402
  • Volume: 2 Fluid Ounces (59 mL)
  • Packaging: Spray Bottle
  • Application: Spray Adhesive Preparation and Barrier Protective Dressing
  • No Sting Formula
  • Liquid Dries to a Sticky Tack
  • HCPCS Code: A4369

 

Ostomy Powder 201001

Ostomy Powder

Ostomy powder absorbs moisture and helps to protect your skin. Use to dry a raw, weepy area of the skin around your stoma. Ostomy powder protects against itching and broken skin. It relieves irritated skin and promotes comfort.

  • Product Number: 201001
  • Volume: 1 Ounce (28.3 grams)
  • Packaging: Plastic Bottle
  • Application: Ostomy Powder
  • Protects Against Itchy Skin
  • HCPCS Code: A4371

 

2-Inch Stoma Seal 7900444

Stoma Seals

These stretch-to-fit, conformable seals provide skin protection by covering inconsistent areas of skin around the stoma. The seals help prevent leaks, protect skin, and repress moisture penetration. The stretchy material easily conforms around a variety of stomas.

  • Product Number: 7900222, 7900444
  • Stoma Diameter Sizes: 2 or 4 Inch
  • Packaging: 5-pack
  • Application: Ostomy Seal
  • Moldable
  • Stretchable
  • HCPCS Code: A4385

 

Hydrocolloid Skin Barrier Strips 7200344

Hydrocolloid Skin Barrier Strips

These skin barrier strips offer additional security to protect skin. Place the strip under the pouch to assist with adhesion and to protect skin. These strips aid individuals with adhesive allergies or irritable skin. They adapt to any brand of ostomy appliance and are pre-cut and pre-shaped for easy application. These barrier strips are easy to remove and gentle to the skin.

  • Product Number: 7200344
  • Packaging: 30-pack
  • Application: Barrier Strip
  • Skin-friendly
  • Tape Alternative
  • HCPCS Code: A4362

 

Hydrocolloid Skin Barrier 7200444

Hydrocolloid Skin Barrier

Skin barriers protect the skin and enhance ostomy appliance adhesion. The barrier goes underneath the appliance and against your skin. Barriers may be cut-to-fit as needed and fill uneven skin around the stoma to prevent leaks.

  • Product Number: 7200444
  • Packaging: 10-pack
  • Application: Skin Barrier
  • Skin-friendly
  • Tape Alternative
  • Applies Easier with Water
  • HCPCS Code: A4362

 

Stoma Paste 200000

Stoma Paste

Stoma Paste is a protective skin barrier that is pectin-based. It comes in a squeeze tube that is easy to apply. The paste fills and chalks uneven areas around the stoma to reduce leaks around the stoma appliance.

  • Product Number: 200000
  • Volume: 2 Ounce
  • Packaging: Tube with Screw Cap
  • Application: Skin Barrier
  • Protects Skin
  • Prevents Leaks
  • Alcohol Free
  • HCPCS Code: A4406

 

Ostomy Deodorant 108000

Ostomy Deodorant

Ostomy Deodorant protects the user from odor. This product is long-lasting and works by neutralizing odors. It does not attempt to mask odors with a fragrance. Instead, it defeats odor with a counteracting formula.

  • Product Number: 108000
  • Volume: 8 Ounce
  • Packaging: Bottle with Flip Top Cap
  • Application: Odor Neutralizer
  • HCPCS Code: A4394

 

Lubricating Gel Deodorant 108008

Lubricating Gel Deodorant

This ostomy deodorant offers lubrication and a deodorizer in one. It has a gel-base formula that offers long-lasting protection. Odors are neutralized and not masked by a fragrance.

  • Product Number: 108008
  • Volume: 8 Ounce
  • Packaging: Bottle with Screw Cap
  • Application: Odor Neutralizer
  • HCPCS Code: A4394

 


 

Other Accessories

 

Ostomy Belt 7126049

Ostomy Belt

The Ostomy Belt attaches to an ostomy appliance to keep it secure for active users. The belt is adjustable to meet individual needs. It keeps ostomy bags securely in place while participating in activities. The belt attaches to tabs on the ostomy appilance

  • Product Number: 7126049
  • Size: 26 to 43 Inch Waist ( 66 to 109 cm)
  • Packaging: Each
  • Application: Ostomy Pouch Belt
  • Latex
  • HCPCS Code: A4367

 

Curved Tail Closure 413500

Curved Tail Closure

The Curved Tail Ostomy Closure is a plastic device used on drainable pouches to keep them closed. It has a simple latch device that keeps the ostomy bag closed and keeps the latch in place. This clamp device is reusable and provides a secure seal at the end of the drainable pouch.

  • Product Number: 7135005
  • Packaging: 5-Pack
  • Application: Ostomy Pouch Closure
  • Material: Plastic
  • Reusable
  • HCPCS Code: A4363

 

Night Drain Adapter 7153005

Night Drain Adapter

The Night Drain Adapter has a universal connection for attaching to an ostomy pouch to provide night urine drainage. It is for use with urostomy bags to drain to a bedside bag or container. It is easy to setup and use, offering convenience during the night to allow the user to sleep undistrubed.

  • Product Number: 7153005
  • Packaging: 5-Pack
  • Application: Drain Adapter
  • Material: Plastic
  • Reusable
  • HCPCS Code: A4421

 


 

 

 

 

 

 

Securi-T USA

The examples, product images, and links used in this blog article are from the Securi-T USA brand line, formerly known as Genairex. Securi-T is an ostomy product brand from Hollister. This brand offers a complete line of ostomy products, ranging from urostomy pouches, wafers, ostomy power, stoma paste, adhesive remover, no-sting wipes, to drain closures and adapters. These branded products are user-friendly, and American made. Request FREE Ostomy Samples from Securi-T by calling toll-free to 800-323-4060 between 8 am and 5 pm Central Time.

 

 

 

 

 

Footnotes

 

 

 

 

 

Medical Studies

 

 

 

 

 

 

 

 

 

 


Burt Cancaster, Author

 

Vitality Medical
7910 South 3500 East, Suite C
Salt Lake City, UT 84121
(801) 733-4449
[email protected]

 

Burt Cancaster Profile

 

 

Posted in: Ostomy Information