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It starts with a stoma, which is a surgical opening that doctors create on the abdominal surface to redirect the flow of feces/urine from its normal pathway. A stoma appears like a spout. And because it doesn’t have the nerve ending, it doesn’t feel anything. However, you can look for a few signs to know whether your stoma is healthy or not. A healthy stoma has a deep red color, and it looks very similar to the inside of a healthy mouth.
What is a recessed stoma?
What is a recessed stoma?
A recessed stoma doesn’t appear much protruded from the surface of the abdomen. However, in reality, this stoma is as much protruded from the abdominal surface as a normal stoma. The difference between a normal stoma and a recessed stoma is that the recessed one feels more like pushed into the abdomen, which results in the peristomal skin to curl in to meet the sides of the stoma. This type of stoma is hard to manage with conventional wafers that have a flat surface. The surface of the skin barrier fails to reach the point where the skin and the stoma meet. As a result, the wafer fails to cover the entire peristomal skin area, leaving significant room for leakage to occur under the barrier. The leakage of stomal output not only results in the further loosening of the skin barrier, but it also leads to several skin infections that tend to make ostomy management difficult in the long run.
What is a convex wafer?
What is a convex wafer?
A convex ostomy wafer has an inward curve that faces the stoma. This curve gently pushes the peristomal skin to make the stoma protrude. This protrusion allows the edge of the wafer’s opening to reach the base of the stoma, forming a tighter seal with the entire peristomal surface.
A convex wafer not only addresses the problem in stoma’s protrusion, but it also resolves the peristomal skin issues such as unevenness and fissures in the skin.
A convex wafer can be a part of all types of ostomy bags. A convex wafer works well on a closed-end bag, a drainable bag, a one-piece ostomy pouching system, and a two-piece ostomy pouching system.
Now, the question is whether or not you can use a pouching system that utilizes a convex wafer. There are indeed some conditions that may restrict you from using a convex wafer. Several skin infections can deteriorate further with the use of a wafer that applies pressure on the peristomal skin area. Be sure to ask your doctor or ostomy care nurse if you are eligible for a convex pouching system.
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