Eric, when I had my temp ileo I had alot of leakage so my stoma nurse changed the supplies I was getting. I am not at home or I would go look now , but I do remember that I had to use a barrier ring, it is moldable with my flange and it worked wonders. I don't have a flat stomach so what they gave me from the hospital just didn't do the trick. I will be glad to look up my stock numbers when I get home this evening, I used hollister supplies.

In addition to using a barrier ring I also used a product called "Skin Bond". It was made by Smith+Nephew but I've heard they no longer manufacture it. Other companies must still make something like it. It came in a bottle like rubber cement.....brush was part of the cap, and all! I'd brush it on the sticky side of the wafer and on my belly, as well.....covering the barrier ring. When it was "tacky"....a minute or so after brushing it on, I'd press the wafer to my belly and keep my hands on it for a minute or so to add warmth and help it stick to my skin. I then used an ostomy belt, as well. This skin bond was a godsend. I got seven days of wear of my appliance and could have gotten more. No more leaks. When removing it, carefully peel it off your body....don't pull too hard....try to peel it off by sections. Any residue left is fine to leave there or if it bothers you, use a warm hair dryer and the ends of your fingers to "ball up" the residue and remove it a little at a time. I was told to just leave the residue as it would help the new wafer stick better but I wanted a clean surface to begin with each week. I know other companies make this product although it is probably called something else. Ask your ET nurse or your ostomy supplies supplier. Good luck!

Call the stoma nurse ASAP. I had this happen too, but mine was because of a serious, weepy allergic reaction to the wafer. I went to the nurse the next day after holding the damn thing on all night with my hand. She calmed me down and fixed me up. She was awesome!

Get a hold of adapt barrier rings. They are adjustable and work well with a convex pouch. I had a lot of leaking problems until I got a hold of those.

call hollister and they can send you a few samples.

eric. usually less is more with ileostomy gear. My suggestions are:
1) get in to see an ostomy nurse asap
2) what are you cleaning your skin with - soap and water only I hope
3) try another kind of wafer that has a different adhesive
4) cut out all the pastes, strips, etc.. and start with a simple system. Maybe just a wafer and an eakin seal or adapt ring. Maybe one of the seals, particularly eakin, will expand up and fill that dip
5) after you apply your new kit, hairdryer it all on for about one minute. Then do not bend, move, twist for about half an hour afterwards.

I'm sure you've used skin prep before. They look like alcohol pads, but they make the skin tacky while creating a barrier. You wash around the stoma only with non-residue soap, let dry, then do the skin prep, let dry, then do your flange with stomahesive paste. I saw you used paste.

At work in my ICU, we use something calld Mastisol when we need something to stick, like tape to hold an endotracheal tube. It's liquid, and makes a very tacky area for under the tape or adhesive. It also comes with a remover called Detachol. Not sure it's appropriate for stomas/appliances, but you can ask. Years ago we used tons of Benzoin to help our endotracheal tube tape stick, and Benzoin is SUPER STICKY and works well, but turns skin brown (has a betadine look to it, but very staining). And again, may not be appropriate for helping to get skin sticky enough to hold the flange around a stoma, but man, that stuff kept things in place hardcore!

It's been years since I had my loop ileostomy, and it was an easy stoma, so I don't have a lot of ideas when it comes to flange help from personal experience. I imagine guys can have issues from hair,too, that I never had. I change patient's ostomies at work at times, but it's usually just in the ICU when they're still only lying there, so it's less problematic for them, and the wound care nurses do the long term care once they're out of the ICU and moving around. And a lot of our ICU stomas are also temporary and wonky, so they're challenging, but again, a patient in bed on their back is less of an issue than one moving around.

It has been almost 10 years, but I remember using 3M Cavilon Barrier Film Wipes to wipe down the skin and make it tacky. Then I used stoma adhesive paste-put in a circle following just inside of the opening on the wafer-make sure the adhesive is about as thick as a pencil. Then, stick everything on, lay down with your hand over the whole deal for five or ten minutes to help warm the wax to your skin so it will stick. I know some people use a ostomy belt to help hold everything in place better.

Good luck Eric!

Becky

I use an Eakin seal and Skin-Tac (http://www.torbot.com/ecom/product/featured/70/). The Skin-Tac has been a god send to me. Once I am all clean and dry I wipe all the way around my stoma then use a blow dryer on low to dry it. Then I slap on an Eakin seal and then my wafer. I hope you can find something that works for you.