Closed Stoma Bags
Closed stoma bags are generally worn by those with a colostomy. The stool is generally well formed and the bag will be changed once or twice a day depending on how often waste is produced.
One piece and two piece closed bags
One piece stoma bags, such as FreeStyle Vie Flushable and FreeStyle Vie Closed, are the most commonly used in the UK and comprise an adhesive (flange) which is attached to a bag. The flange, which is made of natural materials, keeps the bag secure but is also gentle on the skin. With two piece systems, such as FreeStyle 2 piece Closed, the flange is separate from the bag and they are secured together by a coupling mechanism. This allows for the bag to be changed whilst the flange can stay on the body for 2-3 days.
Flanges to suit your stoma
Flanges can vary in shape depending on how your stoma is situated on your body. When the stoma protrudes evenly from the body surface usually bags with flat flanges, such as FreeStyle Vie Closed, will be worn. Sometimes the stoma will sit in a dip or crease or in a slight recess and a bag with a 3 dimensional flexible flange, such as FreeStyle Curvex Closed, can be ideal. FreeStyle Curvex Closed gently moulds into the body’s shape to provide additional security and as the flange can be inverted it can also be useful for parastomal hernias. When the stoma lies flush to the skin or is in a deep recess a bag with a convex flange, such as FreeStyle Convex Closed, may be needed. Additional adhesion can be provided for any of these stoma types in the form of HydroFrame.
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