Changing A Two Piece Stoma Bag

Two piece stoma bags have a separate adhesive (flange/baseplate) with a raised collar over which the stoma bag is fitted. The flange can be kept on for 2 -3 days and the new bags can be attached when necessary.   

Emptying Pouch
  • Wash hands
  • If using a drainable or urostomy bag, empty the contents of your stoma bag into the toilet
Spraying Appeel
  • Apply medical adhesive remover spray or wipe on top and around the edge of the flange to be removed and wait a few seconds
Applying LBF Spray
  • Gently peel back the flange, holding the skin above taut to ease removal. Apply additional medical adhesive remover if required
  • Remove excess soiling on the stoma and surrounding skin with a dry, non-woven wipe
Measuring Stoma
  • Use water to wet a non woven wipe and wash stoma and surrounding area, then dry thoroughly
  • If necessary, check the size of your stoma, using a measuring card
Cutting Pouch
  • If your flange needs adjusting, cut a hole to the required size using a pair of pouch cutting scissors*
Removing Stoma Bag Cover
  • Remove the protective cover from the adhesive flange
Attaching 2Piece Stoma Bag Flanges
  • Fit flange from the bottom and smooth over from the stoma to the edge ensuring there are no creases in the adhesive
Attaching 2Piece Stoma Bag
  • Attach stoma bag to the flange from the bottom ensuring that the bag and flange are aligned
  • Hold in place with your hand for 30 seconds to a minute, as the warmth improves the adhesion to your skin

* Pouch cutting scissors are available free of charge or a pouch cutting service is available, also free of charge, to current users of the SecuriCare home delivery service.

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