Leaks can happen at the interface of a pouch appliance and Fistula Solution device. Usually leaks are because the pouch opening is cut too small or because of poor pouch adhesion.
The goal is to direct ALL effluent into the pouch appliance with no leaks. These technique tips will help assure success.
1. Add a thin ostomy barrier ring to the top flange of the of the Fistula Solution device. This landing zone is where the high output ostomy pouch or wound manager will be placed.
2. Cut the opening in the high output ostomy pouch or wound manager generously. Make the opening diameter about 1 cm larger than the Fistula Solution device opening. Then place the pouch appliance on the landing zone.
3. Bridge the gap between the opening of the pouch appliance and the landing zone with another ostomy barrier ring. A barrier ring can be cut and applied in segments as shown in the image to the right.
Work the pouch appliance into the barrier rings. Have the patient lay quietly for 30 minutes or more to allow the pieces to warm up and adhere to each other.
These technique tips can help stop leaks from happening at the interface of the pouch appliance and Fistula Solution device, and ensure all effluent goes into the pouch where it belongs.