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gord
 gord
(@gord)
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January 24, 2020 3:10 pm  

 For 49 years now I have struggled because of my very sensitive skin but I’d like to share my latest findings. I should mention that I have tried recently both the Coloplast and salts system.  The salts system felt great when it was on but when I came to try to remove it using their adhesive remover wipes, even going very carefully and slowly, my skin was still damaged. So here is the hybrid system that is working really well for me. 

I use a Skin Tac wipe, 74407W at bestbuymedical.com, on the skin to improve adhesion.   After allowing one minute for the solvent to evaporate, I then apply a Colly seal (Torbot 3-inch, ‘thick’ 74222B) cut with curved nail clippers a little bigger than my stoma size as it will shrink around the stoma.  

 I will try and describe clearly what I do next. I had tried the Coloplast system using the light convex flange number 16911 for the Mio click 50 mm but my skin reacted very badly to the adhesive within 24 hours.   However, when I applied this, pre-cut to my stoma size, on top of the Colly seal everything was fine for five days when I changed the system.   I then used the nail clippers to cut away most of the ‘rubber’ adhesive from the plastic and then I cut away the very fine plastic from the centre opening until I ran into the circular part of the convex system;  I also cut away all the excess exterior plastic but I was careful not to compromise the plastic that is part of the belting system.  I am then able to reuse the flange repeatedly, and I suspect it will last at least a year.   The plastic ring on the flange which is used for clicking on the bag might be sufficient on top of the Colly seal but I really wanted to protect the Colly seal from effluent so I cut out from an orange juice box or a milk box a circle whose outside diameter is a little bigger than the diameter of the opening in the flange, ensuring that the Colly seal is not exposed where the flange meets this circular ‘protective ring’.   The inside of this protective ring is cut a little bigger than my stoma size so that the  Colly seal is fully protected from the effluent.  Note that these protective rings can be reused: I cut 4 and I wash, dry and reuse them.

 Recall that the Colly seal has been previously attached to the skin with the skin tac.   I then wet the Colly seal top so that it becomes tacky, and then place my protective ring around the stoma on the  Colly seal.  To ensure that the flange makes a good seal with both the Colly seal and my protective ring, I use the same skin TAC wipe on both the flange and the top of the protective ring. I then press the flange onto the apparatus ensuring that the circular opening on the flange covers the protective ring ( this is really quite easy to do as the flange is about the same size as the 3 inch Colly seal).   I then attach the four-point Brava belt while holding the flange securely.

 I then just click on the Coloplast Mio bag.

I get five days out of this system, even having a 15 minute hot tub every day, and I have not had a leak in a month!

Removal is very easy, compared with other systems, because all I have to do is use a Q-tip dipped in rubbing alcohol and the Colly seal and skin Tac releases easily, preserving my skin, which now looks perfect even around the stoma!

 I wash and reuse the bags for a total of three times, 15 days. Because I’m reusing the flange, the only other cost is the Colly seals which are not that expensive: my annual cost is about $400 Canadian but it should be noted that I order the Colly seals from bestbuymedical.com when I am in the US.


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SqueakyandLiza
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January 25, 2020 11:22 am  

Hi Gord,

I’ve read this a couple times, trying to really understand what you are doing and I’m having a little trouble. I don’t think I have a good mental picture of what you are cutting away the rubber adhesive and extra plastic?  And when you say you are reusing the flange and think it will last up to a year, how exactly is the flange staying adhered to your seal?

It certainly sounds like a creative solution you have come up with. Did it not work for you to just attach the flange to the seal, or was it your goal to extend the life of the flange as much as possible?

-Liza
Ileostomy 6/18/2018
“May your day be bright and your bag be light.”


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LLNorth
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Posts: 234
January 25, 2020 11:55 am  

I use the Hollister two-piece, which I realize is not the same,  but are you saying that you remove all adhesive from the flange, which is stiff enough to use a belt to hold in place? The barrier ring seals things, then, and so your skin isn’t touching any adhesive? This sounds really interesting, and in my case, with the Hollister flange, the peel-off plastic backing is quite stiff, and so the backing could actually be used as a flange. In theory, of course (what could possibly go wrong? 😊).

Colostomy 4/30/18
I love the smell of coffee in the morning. It smells like .... victory.


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dogtalkerer
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January 25, 2020 4:51 pm  

you have me puzzled as well, can you take some pictures of your process?

15 days is extremely impressive.  plastics tend to be pretty resilient, might as well push the envelope and see how far you can go.  my bags stink too much after 5days or I would keep using them til who knows when.


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gord
 gord
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June 8, 2020 11:22 am  

@squeakyandliza

Sorry, I had not checked the website since January 24. I have attached a photo showing the flange after cutting away the adhesive and extraneous plastic: it is now ready for my use. I use Skin Tac to improve the adherence of the flange plastic to the seal. I will soon post an even better, and more secure method, of adhering the flange to the Colly seal.  Yes, the flange from Coloplast could be directly attached to the Colly seal as long as all of the extending plastic adhesive was removed to protect my sensitive skin. However, It would cost a fair bit to replace the flange every time so my system is way cheaper and easier! I am very good on email so I encourage people to contact me directly at ghambly91@gmail.com

1591629730-image.jpg

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gord
 gord
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June 8, 2020 11:32 am  

@llholiday

Sorry for not getting back to you sooner as I have not checked the website since January 24. I’m much better on email so please feel free to email me at ghambly91@gmail.com

Recall that my skin is super sensitive so the only thing touching it is the Skin Tac which I had applied to one side of the Colly seal.  I removed all the adhesive and extraneous plastic from the flange after I had used it the one time, so that I could reuse the flange many, many times. Please see the picture I have attached.  I will shortly post an even better modified method.


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gord
 gord
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June 8, 2020 11:46 am  

@dogtalkerer

Sorry, for not looking at the website since my January posting. I’m much better on email so I encourage people to contact me directly at ghambly91@gmail.com

I will soon post an even better modified method.  Note that I am able to get five days out of the Colly seal, even taking a 20 minute hot tub every day! I wash and reuse the bag a total of three times for 15 days total and then discard it.

Regarding your stinky bags, you might want to try a different deodorant. My wife has an incredible nose but I found the Torbit TT3308 eight ounce liquid available from paylessmedical.ca to be excellent and it’s a liquid dissolved in a liquid so there’s no crystallization that is a problem with other deodorants I’ve tried.
i’ve posted a picture below of the flange with all of the adhesive removed, ready for my method.


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gord
 gord
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June 8, 2020 12:09 pm  

Here is my improved method and I encourage anyone with questions to contact me directly at ghambly91@gmail.com

in a previous post I detailed the method I used; occasionally the flange would shift a little on the colly seal, potentially creating leaks. I now use a Marlen double faced adhesive number 107 A (1/2 inch opening)or B (three-quarter inch opening) as follows. Using the 3 inch Colly seal cut for my stoma size as a template, I trace out the inside opening and around the outside of the Colly seal (the double faced adhesive is 3.5 inch diameter) and cut to ensure a perfect fit and attach to the Colly seal by removing the protective layer on one side. Using the skin TAC, I apply the colly seal to the skin and then remove the other protective layer on the double faced adhesive and centre and apply the flange. When I change my bag after five days, and I have a hot tub every day, I peel the Colly seal away from the flange and the double faced adhesive will stay stuck to the flange. I then immerse it in a dilute bleach solution for about an hour, rinse and dry thoroughly and the double faced adhesive is still very tacky and can be reused many times as follows: using curved nail scissors cut out the loose piece of adhesive which is not attached to the flange so the central flange opening is exposed (33 mm). For the next number of times I proceed as originally described by placing the milk carton donut on the Colly seal and then applying the flange, with the used double face adhesive attached. Eventually it will lose much of it stickiness and I cut off the old double faced adhesive (but you could just leave it on the flange and use a new Double faced adhesive on the Coliseum). I was not able to attach more than one photo to this post so I’ve attached the photo with the adhesive removed from the Coloplast flange here. I will post two more things with more photos.


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gord
 gord
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June 8, 2020 12:13 pm  

Here is a photo showing the flange with the double faced adhesive stuck to it ready to be used at my next change.  Beside it is my milk carton doughnut which will be placed, with skin Tac, onto the Colly seal before applying the flange on top.


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gord
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June 8, 2020 12:16 pm  

The photo shows the milk carton donut sitting on top of the flange. I probably could have cut the donut to a slightly smaller outside diameter as you will see that there’s not much of the double faced adhesive Showing on the flange outside of the donut and this adhesive must cling to the Colly seal. However, my experience is that it does work!


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gord
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June 8, 2020 12:22 pm  

This photo simply shows how I store the flange between uses to protect the double faced adhesive: the cover is simply one side of the double faced adhesive protective layer.

Please email me at ghambly91@gmail.com with any questions.   Everything I use is available in Canada at paylessmedical.ca


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gord
 gord
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June 8, 2020 12:24 pm  

Correction: the Torbot TT3308 deodorant is available at canmeddirect.ca


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